Margaret Sue Echols, LPC

Margaret Sue Echols is a Licensed Professional Counselor (LPC) based in Texas with 34 years in mental health work. She focuses on adults dealing with stress, anxiety, depression, relationship struggles, trauma and abuse, grief, addictions, and midlife transitions. She also helps with parenting strain, sleep problems, self-esteem, career concerns, and issues related to intimacy and LGBT matters.

In session she aims to listen first and figure out what causes the most distress. She uses talk therapy along with practical tools such as cognitive behavioral exercises, mindfulness, and relaxation techniques. Her style is integrative - mixing approaches to address thoughts, feelings, and behaviors together rather than relying on a single method.

Margaret brings long experience from both clinical and private practice settings. She has worked across a wide range of concerns including mood disorders, PTSD, end-of-life matters, and sexual abuse. That background informs a steady, straightforward way of helping people find balance and relief.

She describes herself as empathetic and intuitive, and she attends to multicultural and spiritual differences while respecting each person's beliefs. Sessions may include coaching elements when life choices or practical planning are needed alongside emotional work.

People considering therapy with Margaret typically start by describing the problem that feels most urgent. From there she helps set goals and chooses techniques that fit the person’s daily life and values. International clients can be seen, and services include messaging, phone or live chat, and video.

How her approaches translate to online care

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful patterns and choose actions that match their values. It is useful for stress, anxiety, life transitions, and decisions that feel stuck. Cognitive Behavioral Therapy (CBT) focuses on changing thought and behavior patterns through practical exercises and homework tasks to reduce symptoms like anxiety and depression. Client-Centered Therapy centers the conversation on the person's experience, using empathy and reflection to help people clarify goals and feel heard.

Choosing an approach is often part of the work. The therapist will collaborate with the client to try methods that match the problem, goals, and personal preferences. If one tool does not fit, adjustments are made so the plan feels useful and realistic.

The profile lists messaging, phone or live chat, and video as services she provides. Confirm the exact session formats and scheduling options before booking. Online sessions can make it easier to fit appointments into a busy day, allow shorter check-ins when time is tight, and let people use methods like CBT worksheets or mindfulness exercises from home. Licensed professionals can adapt exercises and homework for remote work so progress can continue between meetings.