- Skills focused
- Warm and direct
- Evidence-informed
About Alexandra
Alexandra Ainge Cottle is a licensed counselor who helps people navigate stress, anxiety, grief, relationship strain, and money and financial issues. She is an LCMHC and an LPC with twelve years of clinical experience practicing in Utah. Alexandra focuses on practical skills and clear next steps that people can try between sessions.
Her approach blends several evidence-based methods to match each person's needs. She draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Attachment-Based Therapy, and Client-Centered Therapy. Sessions are collaborative and goal-focused, with an emphasis on skills for coping, communication, and managing strong emotions.
Alexandra has worked in schools, homeless shelters, and community organizations. That background shapes how she talks about parenting, adoption and foster care, caregiver stress, and blended family concerns. She also brings experience addressing body image, eating and sleeping problems, chronic illness, and codependency.
She has presented on topics such as effective parenting, anger management, marriage, grief, and self-harm awareness in public and group settings. Alexandra draws on those training experiences to offer concrete guidance for everyday problems like work stress, career transitions, and relationship conflict.
Clients can expect a warm, down-to-earth style that values empathy and a sense of humor. Alexandra acknowledges her own experiences with loss and change, and she aims to help others find steadier footing through practical strategies and steady support.
How her approaches translate to online therapy
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small actions toward those values while learning to live with difficult thoughts and feelings. It can be useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with practical experiments and behavior changes, which is helpful for anxiety, stress, and mood concerns. Attachment-Based Therapy looks at how early relationship patterns influence current connections and communication, and it can help with intimacy issues and family conflict.Finding the right approach is part of the work. Alexandra will talk with clients about their goals, preferences, and what feels most helpful. Together they choose or blend methods so the work matches each person's needs rather than forcing a single technique.
If you are considering online therapy, confirm the available session options before booking since formats are not listed here. Online sessions can make it easier to fit counseling into a busy life, allow quick check-ins between meetings, and reduce travel time. They also let people try different ways of working, such as emotion-focused conversations or skill-building exercises, without changing the therapeutic aims. Licensed professionals can adapt ACT, CBT, and attachment-focused work to an online setting so clients can keep progressing even when life is hectic.
Areas of focus
Frequently asked questions
What concerns does Alexandra commonly help with?
She helps people address stress, anxiety, depression, grief, relationship and family conflict, intimacy and sexual concerns, parenting strain, anger, self-esteem, career shifts, and money and financial issues among other concerns.
How would you describe her therapeutic style?
Her style is collaborative and practical, focusing on clear skills and steps clients can use between sessions. She aims for a warm, straightforward tone with empathy and occasional humor.
What is her professional background?
She has twelve years of experience working in school settings, community programs, and private practice, and has volunteered in shelters and civic organizations.
What credentials and location are listed for this therapist?
She holds the LCMHC and LPC credentials and practices in Utah.
Are sessions offered in languages other than English or to international clients?
Sessions are offered in English, and she does accept international clients.
Which session formats are available?
Session formats are not specified in this profile; please confirm current session options before booking.
How does cost and payment work?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Click the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.