About Alexandra
Alexandra Ainge Cottle helps people manage stress, anxiety, relationship struggles, grief, and depression. She also supports those facing trauma, intimacy concerns, eating and sleeping difficulties, parenting strain, career transitions, and compassion fatigue. Alexandra brings 12 years of clinical experience to her work in Utah and engages people with warmth and straightforward care.
She favors an integrative approach that draws on evidence-based methods. Sessions focus on practical skills, clearer thinking, and stronger emotional awareness.
Background and approach
Conversations aim to be direct but kind, with attention to what is most useful day to day. Alexandra trained in educational psychology at the University of Utah and holds LCMHC and LPC credentials. Her background includes school-based counseling, volunteer work in shelters and community groups, and many years in independent practice.
Those experiences shape a flexible style that suits different life situations. In session she helps people identify unhelpful patterns and try new ways of coping. Techniques may include skill-building from cognitive behavioral approaches, emotion-focused exercises, and work on attachment and values.
The plan is tailored to each person's needs rather than a one-size-fits-all protocol. She has led public trainings on parenting, anger management, grief, and other life skills. Outside of work Alexandra values family and continues personal work after surviving loss and trauma.
That lived experience informs a compassionate, hopeful approach in therapy.
How therapeutic approaches translate to online care
Acceptance and Commitment Therapy helps people clarify what matters to them and take action toward those values, even when difficult thoughts or feelings appear. It is often used for anxiety, depression, and life transitions. Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and practicing different behaviors and coping skills to reduce distress and improve daily functioning.Choosing the right approach is part of the work together. The therapist will discuss goals and preferences, try techniques from different models, and adjust based on what feels most helpful. This collaborative process helps match methods to each person's situation and needs.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video can support deeper conversation and visual cues, phone sessions work well when bandwidth is limited, live chat allows quick check-ins, and messaging is useful for shorter ongoing support. These options make it easier to keep therapy consistent around work, family, or travel while still doing focused therapeutic work.
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What this counselor works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Divorce and separation
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Gottman Method
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Experience
- 12 years
- Licensed
- Utah, Oregon
- Languages
- English