- End-of-life counseling
- Grief and loss support
- Mindfulness and CBT
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 issues such as grief, end-of-life concerns, anxiety, depression, relationship and intimacy issues, trauma and abuse, and caregiving stress. Her approach aims to help people find more balance and calm in daily life.
She uses clear, conversational talk therapy and draws on cognitive behavioral techniques to address unhelpful thoughts and behaviors. Mindfulness and acceptance strategies are part of sessions when they fit a person's needs. Emotionally focused and Jungian ideas may also shape work when exploring relationship patterns and deeper life themes.
Sessions are collaborative. The therapist listens first to learn what causes the most distress. From there she helps people set goals and choose practical steps to feel better between sessions. She also offers life coaching for people wanting concrete planning and action alongside therapy.
Her background includes many years of clinical work across settings and a focus on hospice and end-of-life counseling among other areas. Clients can expect a respectful, empathic presence and an emphasis on fitting tools to each person's life and beliefs.
Margaret values multicultural awareness and often incorporates spiritual or faith concerns when clients request that. She currently works with adults and with couples, aiming to help them find more contentment and effective ways to manage hard situations.
She uses clear, conversational talk therapy and draws on cognitive behavioral techniques to address unhelpful thoughts and behaviors. Mindfulness and acceptance strategies are part of sessions when they fit a person's needs. Emotionally focused and Jungian ideas may also shape work when exploring relationship patterns and deeper life themes.
Sessions are collaborative. The therapist listens first to learn what causes the most distress. From there she helps people set goals and choose practical steps to feel better between sessions. She also offers life coaching for people wanting concrete planning and action alongside therapy.
Her background includes many years of clinical work across settings and a focus on hospice and end-of-life counseling among other areas. Clients can expect a respectful, empathic presence and an emphasis on fitting tools to each person's life and beliefs.
Margaret values multicultural awareness and often incorporates spiritual or faith concerns when clients request that. She currently works with adults and with couples, aiming to help them find more contentment and effective ways to manage hard situations.
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
How her approaches shape online therapy
Acceptance and Commitment Therapy, or ACT, helps people notice thoughts without getting stuck in them and focus on values-based action. It can be useful for grief, anxiety, and coping with life changes. Cognitive Behavioral Therapy, CBT, looks at the link between thoughts, feelings, and behaviors and teaches specific skills to change patterns that keep someone stuck. It often helps with depression, anxiety, and sleep problems. Client-Centered Therapy emphasizes being heard and understood; the therapist creates a warm, nonjudgmental space while clients guide the focus of work.Finding the right approach is part of the work together. The therapist will discuss options and tailor methods to each person’s needs, goals, and preferences. That collaborative process may mix strategies over time so clients get skills and support that fit their situation.
Online sessions can make it easier to fit therapy into a busy life, such as using video for in-depth conversations or phone/live chat for shorter check-ins. The original biography lists messaging, phone/live chat, and video as formats, so confirm which of these are currently offered before booking. Online work lets people continue care when travel or scheduling would otherwise be difficult, and it supports steady progress through regular, scheduled sessions.
Frequently asked questions
What concerns does she help with?
She supports adults and couples with grief, end-of-life concerns, anxiety, depression, trauma and relationship issues. The practice also addresses caregiver stress, addictions, sleep problems, and self-esteem.
What is her therapy style like?
Sessions are conversational and goal-oriented. She listens first, then helps set practical steps and coping tools to use between meetings.
How much clinical experience does she have?
She has 34 years of experience in mental health and 29 years in private practice working with a wide range of adult concerns.
What credentials and region are listed?
She holds the LPC credential as a licensed professional counselor in Texas and practices from that state.
Which languages and international clients are supported?
Sessions are offered in English and the therapist accepts international clients.
What session formats are available?
The original biography lists messaging, phone/live chat, and video. Please confirm current session options before booking.
How does payment and 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?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.