Margaret Sue Echols is an experienced licensed professional counselor practicing in Texas.
01About Margaret
Margaret Sue Echols is an experienced licensed professional counselor practicing in Texas. She has 34 years in mental health and nearly three decades in independent practice. She helps adults facing stress, anxiety, depression, grief, trauma and relationship difficulties.
She also supports people dealing with addictions, parenting strain, sleep problems, self-esteem struggles, career uncertainty, and life transitions. Her style is straightforward and conversational. Sessions focus on identifying the problems that cause the most distress and finding practical steps to relieve them.
Background and approach
She uses talk therapy, gentle mindfulness, and evidence-informed techniques to help people notice patterns and make changes. Margaret combines several approaches to fit each person’s needs. Techniques from cognitive behavioral therapy help with unhelpful thoughts and behaviors.
Acceptance and Commitment Therapy supports managing painful feelings without getting stuck. Client-centered work emphasizes listening and building a trusting therapeutic relationship. She brings long experience working with trauma, loss, intimacy issues, and compassion fatigue.
That background informs a calm, steady approach when addressing painful or complex life events. Margaret also pays attention to cultural and spiritual background when it matters to the client. In online sessions she offers video calls, phone sessions, live chat, and text-based messaging to provide flexible access.
Getting started involves a brief intake and a collaborative plan that matches therapy methods to each person’s goals.
02Credentials
- LPC (Texas)
- License 13710 · expires October 2027
- NPI
- 1114935764 · national provider identifier
Both are public records. A state board register will confirm a license and its standing, and the national registry will confirm an NPI. This directory copies what the counselor lists and checks neither.
03Focus areas and approaches
Everything Margaret lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
- Grief
- Depression
- Addictions
- LGBT
- Family conflicts
- Intimacy-related issues
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Coaching
- Compassion fatigue
- Abandonment
- Aging and geriatric issues
- Avoidant personality
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with natural or human-caused disaster
- Dependent personality
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Phobias
- Polyamory / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Traumatic brain injury
- Women's issues
- Workplace issues
- Young adult issues
Methods Margaret names
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Emotionally-Focused Therapy (EFT)
- Jungian Therapy
- Mindfulness Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
These are the methods Margaret names on their own professional profile. Naming an approach is not evidence of training or certification in it, and this directory checks no training records. Ask directly if it matters to you.
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04Online support
How her approaches translate to online therapy
Acceptance and Commitment Therapy helps people learn to notice difficult thoughts and feelings without letting them dictate behavior; it can be useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy targets unhelpful thoughts and behaviors and gives practical exercises to reduce symptoms and improve daily functioning. Client-Centered Therapy centers on empathetic listening and collaboration so the person sets goals and the therapist follows their lead.Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and what feels most helpful, then try methods that match those needs. This collaborative process means approaches can be adjusted as progress is made or new priorities emerge.
Online formats include video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs. Video sessions allow face-to-face interaction for deeper conversation. Phone sessions can be easier when bandwidth is limited or for shorter check-ins. Live chat and text-based messaging suit quick updates, brief coaching, or ongoing support between longer sessions. These options make it easier to maintain consistency while balancing work, family, and travel.
05Questions people ask
What kinds of issues does she address?
She works with stress, anxiety, depression, grief, trauma and abuse, relationships, addictions, parenting and many related concerns listed in her specialties.
What is her therapeutic style like?
Her style is conversational and practical, focusing on the problems causing the most distress and on steps people can take between sessions.
How much experience does she have in counseling?
She has 34 years in the mental health field and about 29 years in independent practice experience.
What credentials and location apply to her practice?
She is a licensed professional counselor with an LPC credential and practices in Texas.
Which languages and international clients are supported?
Sessions are offered in English and she accepts international clients.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging for flexible online care.
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?
Use the Start Therapy button, complete the short matching questionnaire, and schedule based on the therapist’s listed availability.
Is this your profile?
Ask us to correct details or take the page down.