Margaret Sue Echols, LPC

Margaret Sue Echols is a Licensed Professional Counselor (LPC) in Texas who helps people facing stress, anxiety, depression, grief, relationship difficulties, addiction, and caregiving challenges. She brings 34 years in mental health work and nearly three decades in private practice to sessions. Her style is direct and compassionate, aimed at reducing what causes the most distress in daily life.

She works with adults, couples, and marriages and uses talk therapy alongside structured methods. Sessions may include cognitive behavioral techniques, mindfulness practices, and emotion-focused conversations. Margaret blends different approaches to match what each person needs in the moment.

Her approach is practical and person-centered. She listens for patterns that keep problems repeating and then helps people try manageable changes. Relaxation skills, goal setting, and attention to how thoughts and behaviors interact are common parts of the work.

Margaret has experience addressing trauma, PTSD, end-of-life concerns, and identity-related issues such as LGBT matters. She also supports people facing chronic illness, caregiving stress, aging and geriatric issues, and complicated grief. Cultural and faith backgrounds are respected in sessions.

Clients can expect an intuitive, empathetic presence paired with structured techniques when helpful. The aim is to find clearer direction, reduce symptoms, and improve relationships and daily functioning. Prospective clients should confirm current session options before booking.

How her methods translate to online therapy

Margaret uses approaches like Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in her work. Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts, clarify values, and take small actions that move life in a chosen direction. Cognitive Behavioral Therapy (CBT) focuses on identifying thought and behavior patterns that maintain distress and practicing concrete strategies to change them.

Finding the right approach is part of the therapy process. The therapist works collaboratively with each person to decide which methods fit their goals, needs, and preferences. That collaboration may involve trying different techniques and adjusting the plan over time to see what is most helpful.

Online sessions can make it easier to fit therapy into a busy life. They can reduce travel time, allow a check-in during a break, or let someone join from another location. Because the biography lists messaging, phone/live chat, and video as formats, confirm which of those options are currently available when booking. The focus remains on practical skills, emotional processing, and relationship work delivered in ways that fit everyday routines.