- CBT techniques
- Mindfulness practice
- Emotion-focused work
About Margaret
Margaret Sue Echols is a Licensed Professional Counselor (LPC) in Texas with 34 years in mental health and 29 years in private practice. She works with adults on common concerns such as stress, anxiety, depression, grief, trauma and relationship problems. She also supports people facing addictions, bipolar challenges, parenting strain, career transitions, and issues tied to identity and intimacy.
Her approach is straightforward and conversational. Sessions blend talk therapy with practical tools like cognitive behavioral techniques and mindfulness. She also uses client-centered listening and emotionally focused work when relationships are central to the problem. Jungian ideas inform deeper reflection when people want to examine meaning and patterns in their lives.
In practice she assesses what is causing the most distress and then focuses on resolving that specific problem. That might look like learning skills to manage anxiety, trying behavioral experiments around sleep or substance use, or working on communication patterns with a partner. She also offers life coaching techniques for clients who want help with goals and transitions.
Margaret notes experience with multicultural issues and respects diverse faith backgrounds. She currently works with adults and with couples. Her style is intuitive and relational, aiming to match methods to each person's needs. The emphasis is practical change rather than jargon or long theory sessions.
Sessions combine direct problem-solving with space to reflect. People who choose her typically want clear steps to handle their immediate pressures while also exploring longer term patterns that affect relationships, work, or self-esteem.
Therapeutic approaches used in online sessions
Margaret commonly draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in her work. ACT focuses on identifying what matters to you and taking committed steps toward those values while learning to accept difficult feelings. CBT breaks problems into patterns of thought and behavior and uses practical exercises to change unhelpful habits and reduce symptoms.She also uses client-centered methods that prioritize listening and collaboration. Finding the right approach is part of the work together. The therapist and client review goals, try methods, and adjust based on what helps most for the client's needs and preferences.
Her profile lists messaging, phone/live chat, and video as session options; confirm current formats before booking. Online sessions can make it easier to fit therapy into a busy schedule, shorten travel time, allow shorter check-ins during work breaks, or remove the need to be on camera when that helps focus on the conversation. Many people find that the same therapeutic methods used in person translate well to remote sessions when matched to practical goals and routines.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
34+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with adults on stress, anxiety, depression, trauma, grief, relationship issues, addictions, bipolar concerns, parenting strain, career changes, and related topics listed in her specialties.
How would she approach my anxiety or stress?
She blends cognitive behavioral techniques with mindfulness and client-centered conversation to teach coping skills and reduce symptoms in daily life.
How much experience does she bring?
She has 34 years in the mental health field and 29 years in private practice experience working with adults and couples.
Is she a licensed therapist and where is she based?
She is an LPC licensed in Texas and practices from that state.
Can I work with her if I live abroad?
Sessions are offered to international clients as indicated in her profile; confirm eligibility for your country when you begin the intake process.
What session formats are used?
Her profile lists messaging, phone/live chat, and video as session formats; please confirm current options before scheduling.
How much do sessions cost?
Cost varies with location; sessions are provided through a subscription model that can be canceled at any time.
How do I start working with her?
Begin by selecting the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.