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

Dr. Mary Cotten is a licensed psychologist with 30 years of clinical experience, holding credentials as TX Psychologist 24906 and NM Psychologist PSY0791. Her work focuses on identifying the issues that bring people to therapy and developing practical strategies to help them reach their goals. She has extensive experience supporting adults and families through depression, anxiety, relationship and family of origin concerns, self-esteem difficulties, career challenges, and transitions across the lifespan.

Dr. Cotten primarily uses a cognitive behavioral therapy approach to help clients recognize and change thought patterns that interfere with healthier choices and actions. She also brings experience addressing trauma and abuse, addictions, grief, intimacy and sexual issues, bipolar disorder, ADHD, and compassion fatigue, as well as aging and geriatric concerns, codependency, divorce and separation, and workplace issues. Her practice pays attention to the interactions between life stressors and emotional responses, with a focus on concrete skills and problem solving.

She aims to interact in a relaxed, non-judgmental manner and often receives feedback that she is a good listener and easy to talk to. Dr. Cotten prefers video sessions so she and clients can connect both visually and verbally, and she is also available by phone. She offers appointments during business hours and can arrange evening sessions when needed.

CBT-Informed Care and Online Access

Dr. Mary Cotten uses cognitive behavioral therapy to help clients identify unhelpful thoughts and replace them with more balanced ways of thinking. CBT is practical and skill-oriented, often focusing on changing thought patterns and behaviors that contribute to anxiety, depression, relationship difficulties, and stress-related problems.

She combines this structured approach with a relaxed, collaborative style that emphasizes listening and problem solving. Choosing the right therapeutic approach is a shared process - Dr. Cotten works with each person to find methods that match their needs, goals, and preferences and adjusts the plan as therapy progresses.

Online therapy through video calls, phone sessions, live chat, or text-based messaging makes it easier to fit care into busy schedules and reach licensed professionals from home or work. These options offer flexibility in how and when to meet, support continuity of care during life transitions, and allow therapists and clients to focus on practical skills and progress regardless of location.