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Margaret Sue Echols

Therapist profile

Margaret Sue Echols, LPC

Texas

Licensed Professional Counselor - Relationships and Trauma

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Where Margaret stands

Credentials
LPC
License
LPC, Texas / 13710
NPI
1114935764
Experience
34 years
Languages
English
Location
Texas

About

  • Acceptance and Commitment Therapy
  • Cognitive Behavioral Therapy
  • Client-Centered work

About Margaret

Margaret Sue Echols is a Licensed Professional Counselor (LPC) in Texas with 34 years in mental health and 29 years in private practice. She works with adults on stress, anxiety, relationship and intimacy concerns, trauma and abuse, grief, depression, addictions, codependency, and related issues. She offers psychotherapy, counseling, and life coaching aimed at resolving what causes the most distress.

Her style centers on straightforward talk. She listens for what is driving repeated patterns and helps people notice how their choices affect mood and relationships. Sessions include conversation, practical exercises, and breathing or relaxation techniques when helpful.

Margaret uses a mix of approaches to match the person in the room. She draws on Acceptance and Commitment Therapy to help people clarify values and act on them, Cognitive Behavioral Therapy to identify thoughts and behaviors that keep problems going, and Client-Centered work to follow the person’s concerns. She also brings elements of Emotionally-Focused and Jungian ideas when useful.

She emphasizes practical next steps rather than abstract theory. That might mean trying small boundary experiments, shifting a daily routine to improve sleep, or practicing new ways to respond to a partner’s triggers. Margaret also attends to spiritual beliefs when clients want that addressed.

Her background includes long-term clinical work across settings and many trainings over the years. She lists experience with cancer, caregiver stress, chronic illness, blended family issues, abandonment and dependent or avoidant personality patterns among her focus areas.

How sessions work

How her approaches translate to online work

Margaret commonly uses Acceptance and Commitment Therapy to help people name what matters to them and take small actions that match those values. ACT can be useful for anxiety, codependency patterns, and life transitions because it focuses on action despite uncomfortable feelings.

She also draws on Cognitive Behavioral Therapy to spot unhelpful thoughts and test new behaviors. CBT is practical for insomnia, low mood, and managing anxiety by changing what people do and think between sessions. Client-Centered work informs how she listens and follows the client's concerns, allowing the client's priorities to guide the work.

Choosing an approach is collaborative. The therapist will talk with the client about their goals and try methods that fit their needs and preferences. That process includes checking in and adjusting course based on what helps most.

The original profile lists messaging, phone/live chat, and video as offered formats, so confirm current session options before booking. Online work can make it easier to fit therapy into a busy life - shorter check-ins, not needing travel time, and options when a quiet block of time is all that is available. Therapists can adapt exercises, relaxation practices, and behavioral experiments to the online setting so progress continues between meetings.

Areas of focus

Areas of expertise

Primary focus

Also works with

AddictionsLGBTFamily conflictsIntimacy-related issuesSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue

Additional focus areas

AbandonmentAging and geriatric issuesAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexualitySocial anxiety and phobiaTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Jungian TherapyMindfulness TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

34+ years

Listed in

Texas

Languages

English

Questions

Frequently asked questions

What kinds of concerns does she address?

She works with adults on stress, anxiety, relationship and intimacy issues, trauma and abuse, grief, depression, addictions, codependency, and related concerns.

How would you describe her therapy style?

She uses straightforward talk with practical exercises, breath and relaxation techniques, and small behavioral steps to change patterns.

How much experience does she have?

She has 34 years in mental health and 29 years in private practice.

What are her credentials and where is she located?

She is a Licensed Professional Counselor (LPC) licensed in Texas and practices from that state.

Which languages are supported for sessions?

Sessions are offered in English and she accepts international clients.

What session formats are used?

The original biography lists messaging, phone/live chat, and video as service formats; confirm current session options before booking.

How are session fees handled?

Cost varies with location and sessions use a subscription that can be canceled at any time.

How do I start working with her?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe at home, use the crisis and helpline numbers.

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Margaret Sue Echols

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