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

Dr. Mary Cotten helps people who are stressed, anxious, or facing big life changes. She is a psychologist who keeps sessions calm and straightforward. Many who come to her want help with depression, relationship strain, grief, or trouble focusing and staying motivated.

She has worked in the field for 30 years. Much of her practice has involved supporting people through career shifts, family of origin issues, and recovery from trauma and abuse. Her background also includes work with substance concerns, bipolar disorder, and compassion fatigue.

Dr. Cotten uses Cognitive Behavioral Therapy, or CBT, to help clients spot thought patterns that get in the way. In sessions she helps people try different ways of thinking and behaving, then checks what works. The focus is on practical steps that can be tried between appointments.

She aims to be relaxed and nonjudgmental in sessions and listens closely to each person's story. Appointments are offered as video calls, phone sessions, live chat, and text-based messaging so people can choose what fits them best.

Dr. Cotten holds a Texas psychologist license, TX Psychologist 24906, and a New Mexico psychologist license, NM Psychologist PSY0791. She works from Texas and conducts sessions in English.

CBT and Online Care: Practical Tools You Can Use

Dr. Cotten uses Cognitive Behavioral Therapy, or CBT, which focuses on identifying unhelpful thoughts and testing new ways of thinking and acting. CBT is often used for anxiety, depression, trauma-related symptoms, and stress so clients can practice skills between sessions.

She prefers to work collaboratively, helping each person decide which techniques to try based on their goals and day-to-day life. Together they review what works and adjust the plan as needed so therapy fits the client rather than making the client fit the approach.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to make therapy more flexible. Video helps build rapport by allowing visual and verbal interaction, while phone sessions can be simpler when bandwidth is limited. Live chat and text-based messaging let people check in between appointments or fit brief exchanges into a busy day.

These options make it easier to keep regular appointments around work, caregiving, or travel, and let people choose the format that helps them engage and practice new skills.