Alexandra Ainge Cottle, LCMHC, LPC

Therapist in Utah

Alexandra Ainge Cottle is a Licensed Clinical Mental Health Counselor (LCMHC) and Licensed Professional Counselor (LPC) based in Utah.

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Licensed inUtah, Oregon
License10997254-6004, C4276
NPI 1932507043
Experience12+ years
LanguagesEnglish

Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.

About Alexandra

Alexandra Ainge Cottle is a Licensed Clinical Mental Health Counselor (LCMHC) and Licensed Professional Counselor (LPC) based in Utah. She supports people struggling with stress, anxiety, depression, grief, relationship and intimacy concerns, trauma and abuse, eating and sleeping issues, parenting strains, career stress, and compassion fatigue. She also helps with attachment-related problems, abandonment, adoption and foster care questions, and caregiver stress.

Her approach is practical and down-to-earth. She blends Attachment-Based Therapy with Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behavior Therapy (DBT), and client-centered techniques.

Background and approach

Sessions focus on real-life skills, clearer communication, and ways to manage strong emotions. Alexandra aims to make the room feel compassionate and respectful. Alexandra has 12 years of experience and has worked in schools, shelters, and community organizations.

She earned a master’s degree in Educational Psychology from the University of Utah and has run a independent practice in Utah. She has led public trainings on parenting, self-esteem, anger management, grief, and related topics. Her style is collaborative and straightforward.

She listens first, then helps people set small, achievable goals. She uses tools like thought work, emotion regulation techniques, and attachment-focused conversations to help people notice patterns and try different ways of relating. People who come to her can expect practical strategies and steady support.

She draws on her own life experience with loss and change to keep sessions grounded and hopeful.

Credentials

LCMHC (Utah): License 10997254-6004 · expires September 2026
LPC (Oregon): License C4276 · expires September 2026
NPI: 1932507043 · national provider identifier

Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the therapist lists and checks neither.

Focus areas and approaches

Everything Alexandra lists on their public professional profile, in their own terms.

Stress, Anxiety
Relationship issues
Family conflicts
Grief
Depression
LGBT
Trauma and abuse
Intimacy-related issues
Eating disorders
Sleeping disorders
Parenting issues
Anger management
Self esteem
Career difficulties
Coping with life changes
Coaching
Compassion fatigue
Abandonment
Adoption and foster care
Aging and geriatric issues
Attachment issues
Autism and Asperger Syndrome
Blended family issues
Body image
Caregiver issues and stress
Chronic pain, illness, and disability
Codependency
Commitment issues
Communication problems
Control issues
Coping with natural or human-caused disaster
Dependent personality
Divorce and separation
Emptiness
Family of origin issues
Family problems
Fatherhood issues
Fertility issues
Forgiveness
Gender dysphoria
Guilt and shame
Hoarding
Hospice and end-of-life counseling
Impulsivity
Infidelity
Isolation / loneliness
Jealousy
Life purpose
Midlife crisis
Veteran and Armed Forces Issues
Money and financial issues
Mood disorders
Multicultural concerns
Obsessions, compulsions, and OCD
Panic disorder and panic attacks
Phobias
Postpartum depression
Post-traumatic stress
Pregnancy and childbirth
Prejudice and discrimination
Process addiction (porn, exercise, gambling)
Seasonal Affective Disorder (SAD)
Self-harm
Self-love
Sex addiction
Sexual dysfunction
Sexuality
Smoking / vaping cessation
Social anxiety and phobia
Trichotillomania
Women's issues
Workplace issues
Young adult issues

Approaches Alexandra names

Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.

Online support

How attachment work and skill-focused therapy translate online

Attachment-Based Therapy looks at how past relationships shape current patterns. Online sessions use conversation and reflective questions to notice connection habits and try new interaction approaches, which can help with intimacy and trust issues.

Acceptance and Commitment Therapy, or ACT, teaches people to notice thoughts without getting stuck and to act toward what matters. In remote sessions this often means practicing brief exercises and homework between meetings to build values-based behavior. Cognitive Behavioral Therapy, or CBT, focuses on spotting unhelpful thoughts and testing them with real-life experiments. Over video or chat, CBT tools include thought records, behavioral experiments, and step-by-step planning to change routines and reduce anxiety or mood symptoms.

Choosing the right approach is a shared process. The therapist will work together with the client to match methods to goals, preferences, and life demands. That may mean mixing attachment exploration with skills training and checking in about what helps most.

Online formats offer flexibility. Video calls let people read facial cues and use screen-shared worksheets. Phone sessions can be easier when bandwidth is low or when a shorter check-in fits a work break. Live chat and text messaging are useful for brief coaching, between-session support, and tracking progress. These options make it simpler to fit therapy into a busy life while keeping the work focused and practical.

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Frequently asked

What concerns does she address?

She helps people with stress, anxiety, depression, grief, relationship and intimacy issues, trauma and abuse, eating and sleeping problems, parenting strain, career stress, and compassion fatigue.

What is her therapeutic style like?

Her style is warm and practical. Sessions emphasize listening, clear communication, and doable skills to manage emotions and relationship patterns.

How much experience does she have?

She brings 12 years of clinical experience, including work in schools, homeless shelters, and community organizations, plus years in independent practice.

What credentials and region apply?

She holds LCMHC and LPC credentials and practices from Utah, with licensure listed as UT LCMHC and OR LPC.

Which languages and international options are available?

Sessions are offered in English, and she accepts international clients.

What session formats does she offer?

Therapy is available by video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.

How does billing and cost work?

Cost varies by location and therapist availability; sessions use a subscription model that can be canceled at any time.

What are the first steps to begin?

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

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