Mary Cowen
Compassionate LCSW guiding practical change
- Credentials
- LCSW
- Experience
- 26 years
- Licensed in
- North Carolina
- Languages
- English
- Format
- Online sessions
About Mary
Mary Cowen is a Licensed Clinical Social Worker with 26 years of experience. She trained and practiced in Texas and Oklahoma before relocating to North Carolina. Mary has helped people facing depression, anxiety, grief, eating concerns, addictions, relationship strain, and serious medical issues.
Her tone is warm and respectful and she aims to make the first steps toward change easier to take. Mary has worked in many settings including community health, in-home care, schools, hospitals, hospice, and in-patient mental health.
Background and approach
She has provided individual counseling, couples and family therapy, and group work. That breadth shapes how she tailors treatment to each situation. Her style is interactive and compassionate.
Sessions focus on listening first, then building practical skills people can use at home. She combines straightforward problem-solving with attention to feelings and strengths. Mary uses a mix of approaches to match the person and the problem.
She often draws from Cognitive Behavioral Therapy to address unhelpful thoughts and behaviors. She also uses Mindfulness techniques to help people manage stress and stay present. Parents and caregivers will find a clinician who pays attention to family dynamics and practical needs.
Mary works with relationship and family concerns and with parenting issues. She offers coaching around life transitions and caregiving stress while respecting each person’s pace and goals.
Approaches that translate well to online therapy
Client-Centered Therapy focuses on listening and understanding the person’s perspective. It helps people feel heard and builds a collaborative plan for change. Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions and teaches practical tools to reduce anxiety, depression, and unhelpful habits. Dialectical Behavior Therapy, or DBT, adds skills for tolerating distress, managing emotions, and improving relationships when feelings feel intense.Finding the right approach is part of the work. Mary will talk with each person about goals and preferences and recommend techniques that fit their situation. That decision is collaborative and can be adjusted as therapy moves forward.
Online therapy offers flexibility for busy families and people with limited travel options. Video calls let sessions feel face-to-face, phone sessions can be easier on the go, and live chat or text messaging provide short check-ins and support between sessions. These options make it simpler to keep therapy consistent while juggling parenting, caregiving, work, and other demands.
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
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Specialties and expertise
Top specialties
- Grief
- Eating disorders
- Self esteem
Also works with
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Drug and alcohol addiction
- Eating and food-related issues
- Family conflicts
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Intimacy-related issues
- Mood disorders
- Multicultural concerns
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Phobias
- Relationship issues
- Self-harm
- Self-love
- Social anxiety and phobia
- Stress, Anxiety
- Trauma and abuse
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 26 years
- Licensed
- North Carolina
- Languages
- English
Next step
Talk to Mary
- Takes a few minutes
- Nothing to set up just to look
- Stop at any point