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Alexandra Ainge Cottle, LCMHC, LPC

Compassionate adolescent and family counselor
  • Adolescents and families
  • Integrative approaches
  • Online therapy options

About Alexandra Ainge Cottle

Alexandra Ainge Cottle is a licensed clinical mental health counselor who brings more than a decade of experience to individual and family therapy. She maintains a private practice in South Jordan, Utah, and has built a career focused on supporting adolescents, parents, and families through a wide range of life challenges. Alexandra earned a Master’s Degree in Educational Psychology from the University of Utah, with an emphasis on cognitive behavioral and multicultural counseling. Her credentials include LCMHC and LPC - LCMHC denotes a licensed clinical mental health counselor and LPC denotes a licensed professional counselor.

Earlier in her career she worked as a school counselor and has volunteered in schools, homeless shelters, and community organizations, developing deep experience with youth and family systems. In private practice she has helped hundreds of individuals, couples, and families address conflict, cope with trauma, and work through grief, stress, anxiety, relationship concerns, parenting issues, and other mental health struggles. Her clinical approach is integrative, drawing from cognitive behavioral methods, rational emotive behavior therapy, family systems theory, and other techniques to design treatment plans tailored to each client’s needs.

Clients can expect a counseling environment characterized by empathy, compassion, and a sense of humor, where trust and the therapeutic relationship are valued. Alexandra also brings experience presenting and training groups on topics such as effective parenting, self-esteem, anger management, marriage, sex education, self-harm, and grief. She describes her work as guided by personal experience with trauma, loss, and change and a continued commitment to supporting others toward greater peace and resilience.

Areas of Expertise

Primary Focus

Stress, AnxietyRelationship issuesFamily conflictsGriefDepression

Also Specializes In

LGBTTrauma and abuseIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesCoping with life changesCoachingCompassion fatigue

Additional Focus Areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesAutism and Asperger SyndromeBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesForgivenessGender dysphoriaGuilt and shameHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaTrichotillomaniaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic Approach

Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Emotionally-Focused Therapy (EFT) Existential Therapy Gottman Method Mindfulness Therapy Motivational Interviewing Narrative Therapy Solution-Focused Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Alexandra Ainge Cottle have?

Alexandra Ainge Cottle has 12 years of experience in counseling and mental health work.

Is Alexandra Ainge Cottle a licensed therapist?

Yes. She holds the credentials LCMHC and LPC. License details are UT LCMHC 10997254-6004 and OR LPC C4276.

In which languages does Alexandra Ainge Cottle provide therapy?

Alexandra provides therapy in English.

Where is Alexandra Ainge Cottle located?

Alexandra is located in Utah.

How can I work with Alexandra Ainge Cottle as my therapist?

You can work with Alexandra through video calls, phone sessions, live chat, or text-based messaging.

Does Alexandra Ainge Cottle work with international clients?

Yes, Alexandra works with international clients.

How much does therapy with Alexandra Ainge Cottle cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Integrative Therapeutic Approaches and Online Care

Alexandra uses evidence-based approaches to guide online work in ways that fit each client’s needs. Acceptance and Commitment Therapy (ACT) encourages mindful awareness of emotions and values-driven action - it helps people accept difficult feelings while committing to meaningful steps forward, often useful for anxiety, depression, and life transitions. Attachment-Based Therapy focuses on relational patterns formed in early relationships and helps clients strengthen secure connections, which can be especially helpful for relationship difficulties, attachment issues, and family concerns. Cognitive Behavioral Therapy (CBT) offers practical tools to identify and change unhelpful thoughts and behaviors, making it effective for stress, anxiety, depression, and many everyday coping challenges.

Finding the right mix of approaches is part of the therapeutic process. Alexandra collaborates with clients to identify which methods align with their goals, preferences, and life circumstances, adapting strategies over time to best support progress and resilience.

Online therapy with Alexandra can take place by video call, phone session, live chat, or text-based messaging, offering flexibility to fit work, school, caregiving, or geographic constraints. These options make it easier to maintain continuity of care, access support from a distance, and choose the communication style that feels most comfortable for each person.

Ready to start therapy with Alexandra Ainge Cottle?

Take the first step toward a better you.