Therapist listings are provided by BetterHelp. We will earn a commission at no additional cost to you if you use our links to purchase.

Margaret Sue Echols

Therapist profile

Margaret Sue Echols

Texas

Experienced therapist focused on real-life changes

Continue with Margaret

Review online therapy options and next steps on BetterHelp.

  • 34 years experience
  • LPC in Texas
  • Integrative approach

About Margaret

Margaret Sue Echols is a Licensed Professional Counselor (LPC) in Texas who helps people manage stress, anxiety, relationships, trauma, grief, depression, addictions, and concerns related to men's wellbeing. She has worked in mental health for 34 years, including 29 years in private practice. She offers psychotherapy, counseling, and life coaching with a focus on practical steps people can use right away.

Her style is conversational and down-to-earth. Sessions include talk therapy, mindfulness practices, relaxation techniques, and cognitive-behavioral tools to reduce symptoms and improve daily functioning. She emphasizes balancing mind, body, and spirit in ways that fit each person's life.

Margaret assesses the issue you bring and focuses on what causes the most distress. She uses an integrative approach that may draw from client-centered work, acceptance and commitment ideas, emotionally focused listening, and Jungian insights when helpful. The aim is to find approaches that match your goals rather than force a single method.

She notes awareness of multicultural concerns and respects a range of beliefs while describing her personal faith background. Her experience covers trauma, mood disorders, end-of-life and grief work, couples concerns, sexual abuse, and related issues. She currently works with adults, marriages, and couples.

Margaret works with people who want clearer communication, better coping skills, and a steadier sense of direction. She encourages practical change and gentle self-understanding so daily life becomes more manageable and meaningful.

How Margaret adapts therapy approaches for online work

Acceptance and Commitment Therapy helps people notice painful thoughts and feelings without getting stuck in them, then choose actions that match their values; it can help with anxiety, depression, and life transitions. Client-Centered Therapy focuses on listening, empathy, and creating a nonjudgmental space so people can find their own solutions; it often helps with self-esteem and relationship concerns. Cognitive Behavioral Therapy looks at the link between thoughts, feelings, and actions and teaches concrete skills to change unhelpful patterns, which is useful for anxiety, anger, and mood issues.

Finding the right approach is part of the therapy process. The therapist will talk with the client about needs, goals, and preferences and then try methods together to see what fits best. That collaborative process guides which techniques are used over time.

Margaret's profile lists messaging, phone/live chat, and video as session options, so confirm current formats when you book. Online therapy can make it easier to fit sessions into a busy schedule, allow shorter check-ins by phone or chat when needed, and let people join from different locations or time zones. Licensed professionals can adapt mindfulness exercises, CBT worksheets, and emotionally focused conversations to work well at a distance, helping clients apply skills between sessions without promising a specific outcome.

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

Credentials

Texas

Languages

English

Frequently asked questions

What concerns does Margaret address?

She supports people with stress, anxiety, relationship issues, trauma and abuse, grief, depression, addictions, LGBT concerns, family and intimacy-related issues, sleeping problems, parenting stress, anger, self-esteem, career matters, bipolar issues, and compassion fatigue.

How would you describe her therapeutic style?

Her style is conversational and client-centered, using talk therapy plus mindfulness and relaxation. She prefers practical tools people can use between sessions.

How much experience does she have?

She has worked in mental health for 34 years and has been in private practice for 29 of those years.

What are her credentials and where is she based?

She holds the Licensed Professional Counselor credential (LPC) and practices in Texas.

Which languages are supported and can international clients work together?

Sessions are offered in English and she does accept international clients.

What session formats are available?

The biography lists messaging, phone/live chat, and video as offered session formats.

How does billing or cost work?

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

How do I begin working with her?

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

Margaret Sue EcholsContinue with Margaret