- Anxiety and stress
- Couples and marriage
- Mindfulness and CBT
About Margaret
Margaret Sue Echols is an LPC - Licensed Professional Counselor in Texas with 34 years of experience. She works with adults on concerns that include anxiety, stress, depression, trauma and abuse, relationship and intimacy issues, grief, addiction, and parenting challenges. She also addresses topics such as sleep problems, self-esteem, career pressure, and coping with life changes.
Her sessions aim to identify the most pressing problems and address them with practical strategies. She uses talk therapy alongside cognitive behavioral techniques and mindfulness to help people notice unhelpful patterns and try different responses. Emotionally-Focused ideas and Jungian perspectives appear alongside client-centered principles to support deeper exploration when needed.
Clients can expect straightforward conversation about current difficulties and concrete tools to try between meetings. Techniques may include relaxation practices, thought reframing, and steps to shift behaviors that increase anxiety or conflict. Margaret also blends coaching elements when clients want skills-focused work on goals like career or parenting.
She has worked in private practice for many years and brings long experience with adult clients, couples, and marriage concerns. Her background includes supporting people around LGBT matters, chronic illness, caregiver stress, and grief from terminal illness.
Sessions are offered in English and international clients are accepted. The practice uses a subscription model for sessions that can be canceled at any time. Prospective clients are asked to complete a brief matching questionnaire before scheduling a first session.
Therapeutic approaches used in online sessions
Margaret uses cognitive behavioral therapy to help people spot unhelpful thoughts and test new behaviors. CBT is practical and often focuses on small experiments to reduce anxiety and improve daily functioning.She also works from a client-centered perspective, which means she listens closely and follows what matters most to the client. That approach supports people who need time to clarify values, feelings, and next steps.
Finding the right approach is part of the work together. She will discuss goals, preferences, and what feels helpful, and then choose methods collaboratively so the plan fits the person's needs.
The profile records that sessions can include messaging, phone/live chat, and video, but prospective clients should confirm which formats are currently available before booking. Online sessions can make it easier to fit counseling into a busy week, allow shorter check-ins when time is limited, or remove the need to travel to an office. Therapists can adjust pace and tools for remote sessions, for example using short exercises between meetings or hands-on homework that suits everyday life.
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 concerns does she help with?
She works with adults on anxiety, stress, depression, trauma, relationship and intimacy issues, grief, addictions, parenting and related concerns.
What is her general approach in sessions?
Sessions focus on identifying the biggest problem and using talk therapy plus practical techniques like CBT and mindfulness to address it.
How much clinical experience does she have?
She has 34 years working in mental health and many years in private practice.
What are her credentials and where is she based?
She is an LPC, Licensed Professional Counselor, practicing in Texas.
Which languages and international arrangements are supported?
Sessions are offered in English and international clients are accepted.
What session formats are used?
The original profile lists messaging, phone/live chat, and video as formats; confirm current session options before booking.
How does the subscription pricing work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click the See online therapy options button, complete a short matching questionnaire, then schedule a first session.