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

About Mary

Dr. Mary Cotten welcomes parents and caregivers looking for clear, practical help with family and parenting concerns. She speaks plainly and listens closely.

Conversations focus on real problems at home - stress, anxiety, relationship friction, grief, or changes that leave a family feeling off balance. She aims to make sessions straightforward so busy families can use what they learn right away. Her style is calm and nonjudgmental.

She leans on cognitive behavioral therapy to help people notice unhelpful thinking and change behavior that keeps problems going.

Background and approach

Sessions often include identifying patterns, trying small changes between meetings, and checking what works. This makes the work feel usable, not abstract. Dr.

Cotten is a licensed psychologist in Texas and New Mexico with 30 years of experience. She has spent much of her career helping people with depression, trauma and abuse, addictions, self-esteem, and career or life transitions. She also addresses family of origin issues, post-traumatic stress, and compassion fatigue.

Appointments are offered by video, phone, live chat, or text messaging to fit different schedules. She prefers video so she can connect visually, but will use the format a person finds most comfortable. Sessions are scheduled through a subscription service and can be canceled at any time.

Practical problems, small steps, and clear tools are central to her work. Parents get a direct plan to try at home and time to review what helped, so changes stick over the long term.

Using CBT online to support families and parenting

Dr. Cotten uses cognitive behavioral therapy in online sessions to help people spot thought patterns that make stress and conflict worse. CBT focuses on practical exercises - testing ideas, changing small behaviors, and tracking what improves day to day. This approach is often helpful for anxiety, depression, relationship tension, and coping with life changes.

Finding the right approach is a team effort. She works with clients to choose techniques that match their goals, routines, and comfort with technology. That means adapting homework, session length, and communication style so parents can try strategies at home and discuss results together.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to provide flexibility for busy schedules. Video is preferred for building rapport and seeing family interactions, but phone or messaging can be used when that is easier. These options make it simpler to keep therapy consistent around school, work, and household demands.

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.

Frequently asked questions

What types of concerns does she address?

She works with stress, anxiety, relationship and family challenges as well as trauma, depression, addictions, grief, self-esteem, career changes, bipolar concerns, ADHD, and related issues.

How would you describe her therapeutic style?

She uses a calm, direct style and relies on cognitive behavioral therapy to identify unhelpful thoughts and try practical behavior changes between sessions.

What is her professional background?

She has 30 years of clinical experience working with a wide range of concerns including family of origin issues, post-traumatic stress, compassion fatigue, and women's issues.

What credentials and location are listed?

She is licensed as a psychologist in Texas (TX Psychologist 24906) and New Mexico (NM Psychologist PSY0791) and practices from Texas.

Which languages are supported and can she see international clients?

Sessions are offered in English. International clients are not currently accepted.

In what formats are sessions available?

Sessions can be done by video calls, phone sessions, live chat, or text-based messaging depending on the client's preference.

How is cost handled for sessions?

Cost varies with location and therapist availability. Sessions use a subscription that can be canceled at any time.

What are the first steps to begin working together?

Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Relationship issues
Family conflicts

Also works with

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)

Experience: 30 years
Licensed: Texas, New Mexico
Languages: English

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