Alexandra Ainge Cottle, LCMHC, LPC
Practical support for parenting and life change
Book with Alexandra- Years in practice
- 12
- Credentials
- LCMHC, LPC
- Licensed in
- Utah, Oregon
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Relationship issues
- Focus
- Family conflicts
About Alexandra
Alexandra Ainge Cottle is a licensed counselor who helps people manage stress, anxiety, relationship strain, grief, parenting challenges, and life changes. She works with adults on issues like depression, trauma, intimacy, and self-esteem. Parents often seek her out for help with sleep, eating, anger, and coping with caregiving demands.
She practices in Utah and brings 12 years of clinical experience to each session. Alexandra holds a Master’s degree in Educational Psychology from the University of Utah.
Background and approach
Her background includes school counseling and volunteer work in shelters and community organizations. Her style is straightforward and compassionate. She blends practical techniques with listening and empathy.
Sessions focus on concrete skills people can use at home and in relationships. Alexandra draws from several approaches such as cognitive behavioral methods, attachment ideas, and acceptance-based work. She adapts tools to match each person’s needs rather than following a single method.
This means skill-building, values work, and attention to how relationships affect coping. She has led public trainings on topics like parenting, anger management, and grief. Alexandra describes her counseling as warm and sometimes gently humorous while remaining focused on change.
Many clients appreciate the mix of practical steps and steady support.
What Alexandra works with
Everything Alexandra lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Alexandra helps people with.
- Stress, Anxiety
- Relationship issues
- Family conflicts
- Grief
- Depression
- LGBT
- Trauma and abuse
- Intimacy-related issues
- Eating disorders
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Coping with life changes
- Coaching
- Compassion fatigue
- Abandonment
- Adoption and foster care
- Aging and geriatric issues
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Divorce and separation
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Trichotillomania
- Women's issues
- Workplace issues
- Young adult issues
Approaches Alexandra lists
- 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
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How approaching therapy online can work
Alexandra uses cognitive behavioral ideas and acceptance-based approaches to help people change unhelpful thinking and act on chosen values. Cognitive behavioral therapy focuses on noticing thoughts and testing them with small behavior changes to reduce anxiety and depression. Acceptance and Commitment Therapy (ACT) teaches people how to accept difficult emotions while committing to actions that match their values, which can help with stress, parenting challenges, and life transitions.She sees the choice of method as a collaborative decision. The therapist and client will talk about goals and try approaches that feel right. Adjustments are made over time based on what helps the person move toward their goals.
Online formats include video calls, phone sessions, live chat, and text-based messaging to fit different needs. Video lets people work face-to-face when schedules align. Phone sessions can be easier when bandwidth is limited or you need a shorter check-in. Live chat and messaging offer flexibility for brief updates, homework support, or when written reflection feels helpful. These options make it easier to fit therapy into work, school, or caregiving routines while keeping the focus on practical skills and progress.
Questions people ask about Alexandra
What concerns does Alexandra focus on?
She addresses a wide range of concerns including stress, anxiety, depression, grief, relationship and intimacy issues, parenting challenges, trauma and abuse, and caregiver strain.
How would you describe her therapy style?
Her style is compassionate and practical, combining listening with concrete skills and homework that people can use between sessions.
What experience does she bring to sessions?
She has 12 years of experience, including school counseling, volunteer work in shelters, and a independent practice where she has worked with many individuals, couples, and families.
What credentials and location are listed?
She is licensed as an LCMHC in Utah and an LPC in Oregon and is based in Utah.
Which languages and international options are available?
Sessions are offered in English and she accepts international clients.
What session formats does she offer?
Therapy can be conducted via video calls, phone sessions, live chat, or text-based messaging.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.
More therapists for parents in Utah
All in Utah
Heather Malin
LCPC, LMHC
Utah 15 years in practice
Compassionate therapist and practical life coach
- Stress, Anxiety
- Relationship
- Self esteem
Brandy Terry
LMHC
Utah 12 years in practice
Compassionate counselor focused on practical change
- Stress, Anxiety
- Family
- Trauma and abuse
Dr. Kimberly Walsh
UT Psychologist
Utah 32 years in practice
Change-focused psychologist for parents and individuals
- Stress, Anxiety
- Self esteem
- Bipolar