Mary Acosta-Granger, LCSW - Therapist in Texas

About Mary

Mary Acosta-Granger is a licensed clinical social worker who focuses on helping adults manage stress, depression, anxiety, and parenting concerns. She speaks both English and Spanish and has spent decades supporting people who want clearer communication and more satisfying day-to-day life. Her style is warm and interactive.

Sessions are practical and goal-oriented, with an emphasis on respectful listening and teamwork. She works with each person to build a plan that fits their needs and priorities.

Background and approach

Mary has 39 years of experience as a psychotherapist and counselor. Over that time she has helped people with serious mental illness as well as those facing everyday struggles. Her practice includes helping with trauma and abuse, grief, addictions, bipolar concerns, intimacy-related issues, and compassion fatigue.

She uses approaches like Cognitive Behavioral Therapy and client-centered methods, and she also draws on Dialectical Behavior Therapy, the Gottman Method, and mindfulness when they suit a person's goals. Mary keeps current with newer methods while relying on long experience to guide decisions in therapy. Mary is licensed in Texas as an LCSW - Licensed Clinical Social Worker.

She prefers working with motivated adults who want to make changes that improve personal satisfaction and relationships. She is fluent in Spanish and comfortable with both European and Latin American Spanish.

Online approaches that support clear communication and coping

Mary commonly uses Cognitive Behavioral Therapy and Client-Centered Therapy in online work. Cognitive Behavioral Therapy focuses on identifying and changing unhelpful thoughts and behaviors, which helps with anxiety, depression, and stress. Client-Centered Therapy centers on respectful listening and collaboration so clients feel heard while they set their own goals.

She also draws on Dialectical Behavior Therapy when emotional regulation and distress tolerance are priorities. DBT teaches concrete skills for managing intense feelings and improving relationships while staying present in the moment.

Choosing the right approach is part of the work together. The therapist will review your goals, preferences, and the issues you bring and recommend methods that fit. That decision is collaborative and can change as progress is made.

Online therapy offers flexible ways to connect - video calls, phone sessions, live chat, or text-based messaging. These options make it easier to schedule around busy family life, caregiving responsibilities, or work, and they let people continue therapy from home in a way that fits their routine.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Dialectical Behavior Therapy (DBT)

Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.

Frequently asked questions

What kinds of problems does Mary help with?

She works with stress, anxiety, depression, parenting concerns, grief, trauma and abuse, addictions, intimacy-related issues, bipolar concerns, anger, and compassion fatigue, among other issues.

How would you describe her therapy style?

Her sessions are warm, interactive, and goal-directed. She listens respectfully and collaborates with each person to create a tailored plan.

What is her background and clinical experience?

Mary has 39 years of experience as a psychotherapist and counselor, with a history of working with both serious mental illness and everyday life struggles.

What credentials and location are listed?

She is an LCSW, licensed in Texas with license number TX LCSW 11225, and practices from Texas.

Which languages are offered for sessions?

Sessions are offered in English and Spanish; she is fluent in Spanish and comfortable with European and Latin American varieties.

Can international clients work with her?

International clients are not currently accepted.

What formats are available for sessions?

Sessions can be conducted via video calls, phone sessions, live chat, or text-based messaging.

How are fees handled and how do I begin?

Cost varies with location and therapist availability and uses a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Relationship issues
Family conflicts

Also works with

Therapeutic approaches

Experience: 39 years
Licensed: Texas
Languages: English, Spanish

Next step

Talk to Mary

Takes a few minutes
Nothing to set up just to look
Stop at any point

Book with Mary