Elizabeth Kotkin , LMFT

Elizabeth Kotkin is a Licensed Marriage and Family Therapist (LMFT) with 35 years of clinical experience practicing in both New York and California. She supports individuals navigating complex emotional challenges, offering focused help for depression, trauma, grief, and life transitions. Her work also addresses social anxiety, feelings of isolation, shame, and relationship difficulties with a steady, experienced presence.

Her approach is compassionate and individualized, shaped by decades of practice helping people heal from past wounds and rebuild trust in themselves and others. She has particular skill supporting women through midlife transitions and guiding those recovering from codependency and addiction toward healthier patterns. In sessions she creates a respectful space for exploring difficult emotions, building resilience, and developing practical strategies for change.

Kotkin combines clinical insight with a collaborative stance, aiming to help clients deepen self-understanding, navigate obstacles, and move toward more satisfying lives. She brings professional rigor and empathic support to the therapeutic process, working alongside each person to set goals and discover workable steps for personal growth.

Approaches for Online Therapy and Practical Care

Elizabeth Kotkin uses client-centered therapy to create a supportive, nonjudgmental space where clients lead the pace of their work and therapist guidance is tailored to each person’s needs - this approach helps with self-exploration, relationship concerns, and adjusting to life changes.

She also uses cognitive behavioral therapy (CBT) to help clients identify unhelpful thought patterns and try new behaviors; CBT is often useful for symptoms of anxiety, depression, and stress by focusing on practical skills and measurable progress.

When trauma is a primary concern, trauma-focused therapy techniques are incorporated to address traumatic memories and their emotional impact in ways that promote healing and stabilization.

Finding the right approach is part of the therapeutic process. She works collaboratively with clients to determine which methods fit best with their goals, preferences, and life circumstances, adjusting the plan as progress unfolds.

Online sessions by video, phone, live chat, or text-based messaging offer flexibility for clients balancing work, family, and other responsibilities. These options make it easier to maintain regular sessions, access care from different locations, and choose the format that feels most comfortable for each stage of therapy.