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Margaret Sue Echols

Margaret Sue Echols

Therapist · Texas

Experienced LPC helping adults and couples regain balance

  • Adult and couples focus
  • Practical coping tools
  • Integrative therapy approach

About Margaret

Margaret Sue Echols is a Licensed Professional Counselor (LPC) in Texas who helps adults and couples manage stress, anxiety, relationship difficulties, grief, addictions, and money and financial issues among other concerns. She brings 34 years of experience in mental health and nearly three decades in private practice. Her tone is direct and practical, aimed at helping people find relief and more balance in daily life.

She uses talk therapy alongside cognitive behavioral techniques and mindfulness to address thoughts, behaviors, and coping skills. Sessions often include practical tools for sleep, anger, and coping with life changes. She also works with intimacy-related issues, LGBT concerns, and caregiving stress in ways that aim to fit into clients' everyday routines.

Margaret describes her approach as integrative and client-centered. That means she listens for what is most troubling and then suggests methods that match a person's needs and values. She uses relaxation strategies and guided reflection to help people reduce distress and make steady changes.

Her work has included trauma, domestic violence, end-of-life and chronic illness concerns, and codependency and commitment issues. She also provides life coaching and support around career and self-esteem matters. Her clinical toolbox draws from Acceptance and Commitment Therapy, Emotionally-Focused Therapy, Jungian ideas, and solution-focused practices.

Margaret is comfortable working with multicultural and faith-informed perspectives and notes respect for a variety of beliefs. She currently offers services to adults and to couples, combining psychotherapy and coaching to help people move toward better functioning and greater calm.

Online therapy approaches and what they do

Acceptance and Commitment Therapy, often called ACT, focuses on helping people accept difficult thoughts and feelings while committing to actions that match their values. It can be useful for anxiety, stress, and issues that involve avoidance. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions and teaches skills to change unhelpful patterns; it is often used for anxiety, depression, sleep, and coping with life changes. Client-Centered Therapy emphasizes an empathic, listening approach where the therapist follows the client's lead and supports the client's own problem solving.

Finding the right approach is part of the work. Margaret collaborates with each person to choose methods that fit their goals, needs, and comfort level. She adjusts techniques over time so that therapy stays practical and relevant to day-to-day life.

The profile lists messaging, phone/live chat, and video as offered formats; please confirm current session options before booking. Online work can make it easier to fit sessions into a busy schedule, allow shorter check-ins when needed, and let people use quieter surroundings or lower-bandwidth options when helpful. Licensed professionals can adapt ACT, CBT, and client-centered techniques to remote sessions so clients can practice skills between meetings and apply them where life happens.

Areas of focus

Stress, AnxietyRelationship issuesTrauma and abuseGriefDepressionAddictionsLGBTFamily conflictsIntimacy-related issuesSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue
AbandonmentAging and geriatric issuesAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexualitySocial anxiety and phobiaTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Frequently asked questions

What kinds of problems does she address?

She works with stress, anxiety, depression, trauma and abuse, grief, relationship and intimacy issues, addictions, parenting and many related concerns including money and financial issues.

How would you describe her therapy style?

The style is client-centered and integrative, using talk therapy, mindfulness, relaxation, and practical behavioral techniques to help people change patterns that cause distress.

How much experience does she have?

She has 34 years of experience in mental health and has worked in private practice for most of that time.

What are her credentials and where is she located?

She is a Licensed Professional Counselor, LPC, licensed in Texas and practices from that state.

Can sessions be held in English or with international clients?

Sessions are offered in English and she accepts international clients.

What session formats are used?

The original profile lists messaging, phone/live chat, and video as service formats; please confirm current session options before booking.

How does pricing work for sessions?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

How do I begin working together?

Select the Start Therapy button, complete the short matching questionnaire, and then schedule sessions according to therapist availability.

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