About Margaret
Margaret Sue Echols is a Licensed Professional Counselor who helps people facing stress, anxiety, grief, relationship struggles, and phobias. She works with adults on issues like depression, trauma and abuse, addictions, parenting concerns, and intimacy-related problems. Her tone is straightforward and practical, aimed at people who need clear guidance during hard times.
She brings 34 years in mental health to her work, including 29 years in independent practice. Sessions focus on what is causing the most distress and on practical steps to reduce that distress.
Background and approach
She uses talk therapy alongside evidence-informed methods to give people useful tools they can try between sessions. Her approach blends Acceptance and Commitment Therapy, cognitive behavioral techniques, client-centered principles, emotionally-focused ideas, and Jungian perspectives. That mix lets her match methods to the situation, whether someone needs help with coping skills, working through painful memories, or improving communication in relationships.
Margaret pays attention to cultural and spiritual differences and aims to respect each person’s beliefs. She offers life coaching as well as psychotherapy and will work with clients to set clear, realistic goals. Her manner is described as empathetic and intuitive, with a focus on helping people find balance in mind, body, and spirit.
Sessions are offered through video calls, phone, live chat, and text-based messaging. She works from Texas and communicates in English, and she is available to work with international clients via online formats.
Therapeutic approaches that translate well online
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts while committing to actions that match their values. It can be useful for anxiety, stress, and making life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying thoughts and behaviors that keep problems going and teaching practical skills to change them, which often helps with depression, anxiety, and sleeping problems. Client-Centered Therapy emphasizes a trusting, nonjudgmental relationship where the therapist follows the person's lead and supports self-directed growth.Finding the right approach is part of therapy. The therapist will talk with the client about goals, preferences, and what has worked or not worked before. Together they decide which methods to try and adjust them as progress is made, so the work stays collaborative and responsive to the person's needs.
Online sessions can make it easier to fit therapy into a busy life. Video calls allow face-to-face conversation and visual cues, phone sessions can work when bandwidth is limited or for shorter check-ins, and live chat or text messaging can support quick reflections or coaching between sessions. These formats provide flexibility for people juggling work, family, or health needs while still making therapeutic tools and guidance available.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- Addictions
- Aging and geriatric issues
- Anger management
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- 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
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 34 years
- Licensed
- Texas
- Languages
- English
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