About Alexandra
Alexandra Ainge Cottle is a licensed counselor who helps people cope with anxiety, stress, grief, depression, relationship struggles, and phobias. She uses straightforward talk, practical skills, and a calm presence to make hard problems feel manageable. Alexandra brings 12 years of experience to sessions and works with people from many backgrounds.
She blends several approaches to match each person's needs. That can mean learning new ways to change unhelpful thoughts and behaviors, practicing emotion regulation skills, or focusing on the bonds that shape how someone connects with others.
Background and approach
Sessions are conversational and goal-oriented, with concrete tools to try between meetings. Alexandra trained at the University of Utah and holds a Master’s degree in Educational Psychology. She has worked in schools, shelters, and community programs and has run a personal counseling practice in Utah.
Her background includes group trainings on parenting, self-esteem, anger management, and grief. Her style emphasizes compassion, clarity, and a touch of humor to ease tension. She creates plans that fit a person’s real life, whether the goal is reducing panic, improving sleep, or repairing a relationship pattern.
People often come with complicated losses, long-standing worry, or struggles with identity and intimacy. Alexandra combines evidence-based methods with practical coaching to help people move toward greater stability and more satisfying relationships.
How therapeutic approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) encourages people to notice painful thoughts and feelings without getting stuck in them, then choose actions that match their values. It can help with anxiety, avoidance, and life transitions by focusing on small, meaningful steps. Cognitive Behavioral Therapy (CBT) helps people identify unhelpful thinking patterns and test new behaviors to reduce symptoms like panic, low mood, or sleep problems. It is practical and often includes exercises to practice between sessions. Attachment-Based Therapy looks at how early relationship patterns shape current connections and trust, and can help people improve intimacy, communication, and emotional safety.Finding the right fit is part of the work. The therapist will collaborate with each person to pick approaches that match their goals, preferences, and day-to-day realities. That may mean trying a skill-based strategy first, then shifting to deeper relational work as trust grows.
Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face interaction and guided exercises, phone sessions can be easier when bandwidth is limited or for focused check-ins, live chat suits shorter conversations, and messaging supports ongoing coaching between meetings. These formats make it easier to get care from different locations and to fit sessions into a busy week.
Questions people ask
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What this therapist 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
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