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Dr. Mary Cotten

Dr. Mary Cotten, TX Psychologist 24906, NM Psychologist PSY0791

Therapist in Texas

Experienced psychologist focused on practical change

Continue with Mary Review online therapy options on BetterHelp.
  • Depression and anxiety
  • Goal focused
  • CBT based

About Mary

Dr. Mary Cotten is a clinical psychologist who helps people dealing with depression, anxiety, stress, relationship strain, and life changes. She frames work around clear goals and practical steps so clients can see what to try next. She aims to be relaxed and nonjudgmental in sessions and focuses on listening first before offering ideas.

Dr. Cotten has three decades of experience as a psychologist and draws on that background when helping people manage mood, self-esteem, and career concerns. She often addresses family of origin issues, grief, trauma and abuse, and challenges like addiction or compassion fatigue. Her work also includes support for aging and geriatric issues, workplace struggles, and women's concerns.

Her main way of working is cognitive behavioral therapy, which looks at thoughts and behaviors that get in the way of feeling better. In sessions she helps people spot unhelpful patterns and practice alternatives that change feelings over time. She combines that approach with attentive listening and tailored suggestions.

Appointments are offered from her Texas base and conducted in English. Scheduling aims to match people with a pace that fits their life, including options outside typical daytime hours when needed. Fees vary by location and the service model used.

To begin someone selects the Start Therapy button, completes a short matching questionnaire, and then schedules according to the therapist's availability. The subscription used for sessions can be canceled at any time.

This summary is based on the profile information listed on BetterHelp.

How her approaches translate to online work

Dr. Cotten primarily uses cognitive behavioral therapy. CBT helps people spot thoughts and behaviors that make problems worse and teaches simple practices to try instead. It is often used for depression, anxiety, stress, and problems with self-esteem or work performance.

She also emphasizes practical goal setting and skills practice. That means sessions commonly include reviewing real-life steps to try between meetings and adjusting them as needed. This approach is a hands-on way to track progress week to week.

Choosing the right approach is part of the work together. The therapist will discuss a client's needs, goals, and preferences and then recommend how CBT or other practical strategies might fit. That decision is collaborative and can shift as therapy proceeds.

Confirm the available session formats before booking so you know what options are offered. Online work can make scheduling easier and let appointments fit around work, caregiving, or travel. It can also reduce commute time, allow shorter check-ins when needed, and support consistent progress even when life feels busy.

Frequently asked questions

What kinds of problems does Dr. Cotten address?

She helps people with depression, anxiety, stress, relationship strain, and life transitions, plus concerns such as grief, addiction, and workplace issues.

How would you describe her therapy style?

She uses a goal-focused, practical approach. Sessions emphasize listening first, then identifying specific steps to try between meetings.

How long has she worked in this field?

She has about 30 years of experience as a practicing psychologist and brings that background to a wide range of clinical concerns.

What credentials and location are listed for the therapist?

She is listed as TX Psychologist 24906 and NM Psychologist PSY0791, and her practice is based in Texas.

Are services offered in other languages or internationally?

Sessions are offered in English. International clients are not currently accepted.

What session formats are used for appointments?

Please confirm current session options before booking, as the available formats are set by the therapist and may change.

How does billing and cost work?

Costs vary with location and the service model; sessions use a subscription that can be canceled at any time.

How do I begin if I want to work with her?

Use the Start Therapy button, complete the short matching questionnaire, and then schedule a session according to the therapist's availability.

Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.

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