Alexandra Ainge Cottle, LCMHC, LPC
Utah · 12 years in practice
Alexandra Ainge Cottle is a licensed counselor who helps people cope with stress, anxiety, relationship strain, grief, depression, trauma, and parenting challenges.
License and registration
- LCMHC, Utah
- 10997254-6004 · expires September 2026
- LPC, Oregon
- C4276 · expires September 2026
- NPI
- 1932507043 · national provider identifier
- Years in practice
- 12
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the license with the issuing state board, and the NPI with the national registry.
About Alexandra
Alexandra Ainge Cottle is a licensed counselor who helps people cope with stress, anxiety, relationship strain, grief, depression, trauma, and parenting challenges. She offers calm, practical support for intimacy concerns, eating and sleeping problems, career stress, and compassion fatigue. Alexandra works from Utah and brings a straightforward, compassionate approach to sessions.
She draws on 12 years of clinical experience. Her training includes a Master of Educational Psychology from the University of Utah.
Background and approach
Alexandra began counseling in school settings and later moved into independent practice, where she has worked with many individuals and couples across a range of issues. Her style is collaborative and flexible. Sessions focus on understanding emotions, identifying patterns, and trying small, practical changes that fit a person’s life.
She values empathy, clear communication, and a warm atmosphere with room for humor when appropriate. Alexandra uses a mix of approaches tailored to each person’s needs. She commonly draws from Emotionally-Focused Therapy to explore emotional bonds, Acceptance and Commitment Therapy to clarify values and action, and Cognitive Behavioral Therapy to address unhelpful thoughts and behaviors.
Attachment-based and client-centered ideas also inform her work. Outside the therapy room she has volunteered in schools, shelters, and community organizations. She has presented on parenting, grief, self-esteem, anger management, and related topics.
Alexandra says her own experiences with loss and change inform her empathy and commitment to helping others find steadier footing.
Focus areas and approaches
Everything Alexandra lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Relationship issues
- Family conflicts
- Grief
- Depression
- LGBT
- Trauma and abuse
- Intimacy-related issues
- Eating disorders
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Coping with life changes
- Coaching
- Compassion fatigue
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Divorce and separation
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Trichotillomania
- Women's issues
- Workplace issues
- Young adult issues
Approaches Alexandra names
- Emotionally-Focused Therapy (EFT)
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Existential Therapy
- Gottman Method
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How emotion-focused and values-based work translates online
Emotionally-Focused Therapy helps people and couples pay attention to core emotions and attachment needs so they can improve how they relate. It is useful for intimacy issues, relationship repair, and making sense of painful feelings. Acceptance and Commitment Therapy focuses on clarifying personal values and taking action toward them while learning to live with uncomfortable thoughts or feelings. It can help with anxiety, depression, and overwhelming stress.Finding the right approach is part of the work. The therapist will talk with each person about goals, preferences, and what feels most helpful. Together they will choose techniques that match the client's life and needs, and they will adapt methods over time as progress is made.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging. Video allows face-to-face conversation and visual cues. Phone sessions are a good fit when bandwidth is limited or a shorter check-in is needed. Live chat and text let clients exchange notes, brief check-ins, or coaching over the week. These options make it easier to fit therapy into a busy schedule and to keep working on goals between meetings.
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Questions people ask
What concerns does Alexandra commonly help with?
She supports people facing stress, anxiety, depression, relationship and family issues, grief, trauma and intimacy-related problems. Additional focuses include parenting, career stress, eating or sleeping difficulties, and compassion fatigue.
How would you describe her therapeutic style?
Her approach is collaborative and down-to-earth. Sessions emphasize understanding emotions, clear communication, and practical steps you can try between meetings.
What is her professional background and experience?
She has 12 years of clinical experience and began her counseling career in school settings. She later established a independent practice and has worked with many individuals and couples.
What credentials and region are associated with this therapist?
She holds LCMHC and LPC credentials and practices from Utah. The credentials are listed as UT LCMHC and OR LPC.
In which languages are sessions offered and can international clients join?
Sessions are offered in English. International clients are accepted.
What session formats are available?
Sessions can be conducted via video calls, phone sessions, live chat, or text-based messaging depending on what fits a person’s needs.
How is cost handled for sessions?
Cost varies with location and therapist availability. Sessions are provided through a subscription model that can be canceled at any time.
How do I begin working with this therapist?
Start by choosing the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.
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