Margaret Sue Echols
Seasoned counselor blending practical tools and empathy
LPC Texas
- Experience
- 34 years in practice
- Focus areas
- Stress, Anxiety, Relationship, Trauma and abuse
- Approaches
- Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
- Languages
- English
About Margaret
Margaret Sue Echols is a Licensed Professional Counselor (LPC) practicing in Texas with 34 years of experience in mental health and 29 years in independent practice.
Background and approach
She works with adults, marriages, and couples to address a broad range of concerns including stress, anxiety, grief, depression, trauma and abuse, relationship and intimacy issues, addictions, LGBT concerns, parenting and family dynamics, sleep problems, anger, self-esteem, career shifts, bipolar disorder, and coping with life changes.
Additional focuses in her work include abandonment, blended family issues, caregiver stress, chronic illness and pain, codependency, communication and commitment challenges, and aging-related concerns. Her style blends talk therapy with evidence-informed techniques such as Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), client-centered listening, mindfulness practices, and emotionally focused perspectives.
She emphasizes integrative work that considers mind, body, and spirit while tailoring interventions to the client’s presenting needs. Margaret brings a long history of clinical training and a commitment to helping people find balance and peace through practical strategies, coaching, and supportive psychotherapy.
Clients can expect an empathic, intuitive presence paired with practical tools to address the problems causing the most distress. She offers a range of online session formats to accommodate different preferences and schedules, and accepts international clients who communicate in English.
Therapeutic Approaches and Online Care
Margaret draws on Cognitive Behavioral Therapy (CBT) to help clients identify and change unhelpful thought and behavior patterns, a practical approach often used for anxiety, depression, sleep problems, and coping with life transitions. She also uses Acceptance and Commitment Therapy (ACT) to help people clarify values, build psychological flexibility, and develop mindful strategies for living a richer life despite difficult thoughts or feelings. Client-centered therapy is part of her foundation, offering empathic listening and a supportive environment that helps clients explore personal goals and make meaningful changes.Choosing the right approach is a collaborative process. She works with each person to understand their needs, preferences, and goals and then tailors interventions from these methods so clients receive treatment that fits their situation rather than a one-size-fits-all plan.
Online therapy formats include video calls, phone sessions, live chat, and text-based messaging, providing flexibility for varying schedules and comfort levels. These options make it easier to attend sessions from different locations and to continue consistent work when life circumstances change, while still allowing therapists to use CBT, ACT, and client-centered techniques effectively in remote care.
Frequently asked questions
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
34+ years
Licensed
Texas
Languages
English