Alexandra Ainge Cottle, LCMHC, LPC
Utah · 12 years in practice
Alexandra Ainge Cottle is a licensed counselor who helps people facing stress, anxiety, depression, grief, relationship strain, 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 facing stress, anxiety, depression, grief, relationship strain, and parenting challenges. She also supports people dealing with trauma, identity concerns, sleep and eating struggles, career pressures, and compassion fatigue. Alexandra practices in Utah and brings 12 years of clinical experience to her work.
She takes a plainspoken, relational approach in sessions. Conversations are grounded and direct. Clients can expect a mix of practical tools and space to reflect on meaning and values.
Background and approach
Alexandra draws on Existential ideas to help people name what matters to them. Her counseling style blends several methods to suit each person. She uses Acceptance and Commitment Therapy to help people act on their values, Cognitive Behavioral Therapy to challenge unhelpful thoughts, and Attachment-Based work to look at relationship patterns.
Sessions focus on what a person wants to change and small steps to get there. Alexandra earned her master’s degree in Educational Psychology from the University of Utah. She began her career in school settings and has also volunteered in shelters and community organizations.
Over the years she has worked with hundreds of individuals, couples, and parents in independent practice and community settings. Outside the office she values family connections and continues her own work around loss and growth. She brings empathy, clear feedback, and a touch of humor into sessions.
People who want a practical yet reflective counselor often find this combination helpful.
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
- Existential Therapy
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- 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 therapy approaches translate to online care
Existential work helps people clarify what matters to them and face life changes with more purpose; it is useful for grief, identity questions, and major transitions. Acceptance and Commitment Therapy, or ACT, focuses on noticing thoughts and feelings while committing to actions that match personal values, which can be helpful for anxiety, depression, and stress. Attachment-Based Therapy looks at how early relationship patterns affect current connections and communication, and it can help with intimacy, parenting concerns, and repeated conflict. Finding the right approach is part of the process. Alexandra collaborates with each person to choose which ideas and techniques to use, adjusting methods as needs and goals shift. This means clients often try practical exercises alongside reflective conversations until a useful mix is found. Online sessions make it easier to fit counseling into a busy life. Video calls allow face-to-face conversation when rapport and nonverbal cues matter. Phone sessions work when bandwidth is limited or a quieter audio check-in is needed. Live chat and text messaging are useful for brief check-ins, coaching-style support, or when writing helps clarify thoughts. These options give flexibility in scheduling and in how people engage with therapy.We will earn a commission if you sign up through our link, at no cost to you. It does not change what you pay or the order of the listings.
Questions people ask
What concerns does she help with?
She supports people facing stress, anxiety, depression, grief, relationship and family strain, trauma and abuse, LGBT issues, intimacy concerns, eating and sleeping problems, parenting stress, anger, self-esteem, career questions, and coping with life changes.
How would you describe her therapy style?
Her approach is practical and relational. She mixes direct skill-building with reflective conversations about meaning and values to help people make changes that fit their lives.
What is her clinical background?
She has 12 years of experience and began her career working in school settings. She has volunteered in shelters and community groups and has run a independent practice working with many individuals, couples, and parents.
What credentials and region are listed?
She holds LCMHC and LPC credentials and practices in Utah with the training and clients described in her profile.
Which languages and international options are available?
Sessions are offered in English and she accepts international clients for online work.
What session formats are offered?
Sessions are available by video calls, phone sessions, live chat, and text-based messaging to suit different needs and schedules.
How does pricing and payment work?
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 her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.
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