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

Dr. Mary Cotten helps people clarify concerns, identify patterns that get in the way, and develop practical strategies to reach their goals. She draws on a cognitive-behavioral approach to guide clients in recognizing unhelpful thoughts and replacing them with more effective ways of thinking and behaving. Her work has focused on depression, anxiety, relationship and family issues, self-esteem and family of origin concerns, career challenges, and adjusting to life transitions.

She interacts with individuals in a relaxed, non-judgmental manner and works to create an environment where clients feel heard. Many clients have found her to be a careful listener who communicates clearly and is easy to talk with. Dr. Cotten prefers to establish rapport through video sessions so that visual and verbal interaction are possible, and she is also available by phone for those who find that format more convenient. She offers appointments during business hours and can arrange evening sessions when needed.

Dr. Cotten is a licensed psychologist in Texas (TX Psychologist 24906) and New Mexico (NM Psychologist PSY0791), reflecting state licenses to practice psychology. She uses evidence-informed cognitive-behavioral techniques to help people build skills, manage symptoms, and navigate difficult life changes.

How cognitive-behavioral approaches work in online therapy

Cognitive Behavioral Therapy (CBT) focuses on identifying and changing patterns of thinking and behavior that contribute to distress. In practice this means learning to spot unhelpful thoughts, testing them against reality, and practicing new behavior choices that lead to better outcomes - a method that is often used for anxiety, depression, and adjustment to life changes.

Within a CBT framework, therapy can also emphasize skills training such as problem solving, coping strategies, and behavioral experiments. These practical tools help clients build new routines and responses that reduce symptoms and improve daily functioning.

Finding the right therapeutic approach is a collaborative process. Dr. Cotten works with clients to assess needs, goals, and preferences, and together they determine which techniques fit best. She adapts CBT strategies to each person's circumstances and adjusts the plan as progress is made.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to schedule sessions during business hours or in the evening, reduce travel time, and allow consistent work on goals from wherever the client is located, while continuing to work with licensed professionals and therapists toward meaningful change.