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Margaret Sue Echols, LPC

Experienced Texas LPC for adults and couples
  • Adult and couples therapy
  • Accepting international clients
  • 34 years experience

About Margaret Sue Echols

Margaret Sue Echols is a Licensed Professional Counselor - LPC practicing in Texas with 34 years of experience in mental health and 29 years in private practice. She combines extensive training and multiple certifications with a compassionate, integrative approach to help adults and couples navigate stress, anxiety, depression, trauma and abuse, grief, addiction, relationship challenges, intimacy concerns, parenting and career issues. As an LPC, a licensed professional counselor in Texas, she brings professional oversight and clinical expertise to psychotherapy, counseling and life coaching.

Her work blends evidence-informed methods such as cognitive behavioral techniques, mindfulness and relaxation with client-centered and integrative processes to address mind, body and spirit. She pays particular attention to trauma, mood disorders, end-of-life and bereavement issues, and couples work, while also supporting those facing compassion fatigue, chronic illness, caregiving stress, blended family dynamics, body image and identity questions. Margaret has experience with LGBT and gender identity matters and approaches multicultural and faith concerns with respect; she identifies as Christian while honoring other beliefs.

Currently she focuses on adults, marriages and couples, offering psychotherapy and coaching aimed at resolving the problems that cause the greatest distress and restoring balance and contentment. She is approachable, intuitive and empathetic, and she works collaboratively to find strategies that fit each person’s life and promote greater peace. Margaret also accepts international clients and provides services in English.

Areas of Expertise

Primary Focus

Also Specializes In

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 Approach

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

Frequently Asked Questions

How much experience does Margaret Sue Echols have?

Margaret Sue Echols has 34 years of experience in the field of mental health.

Is Margaret Sue Echols a licensed therapist?

Yes. She holds the credential LPC, which stands for Licensed Professional Counselor. Her license is TX LPC 13710.

In which languages does Margaret Sue Echols provide therapy?

She provides therapy in English.

Where is Margaret Sue Echols located?

Margaret Sue Echols is located in Texas.

How can I work with Margaret Sue Echols as my therapist?

You can work with Margaret Sue Echols through video calls, phone sessions, live chat, or text-based messaging.

Does Margaret Sue Echols work with international clients?

Yes, Margaret Sue Echols works with international clients.

How much does therapy with Margaret Sue Echols cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic Approaches and Online Care



Margaret uses Acceptance and Commitment Therapy (ACT) to help clients clarify their values and build psychological flexibility. ACT teaches practical skills for accepting difficult thoughts and committing to meaningful actions, which can be useful for anxiety, depression and coping with life changes.

Her client-centered approach emphasizes listening, empathy and collaboration so that the client’s experience guides the pace and goals of therapy. This style supports building trust, improving communication and strengthening relationships in couples and individual work.

Cognitive Behavioral Therapy (CBT) is employed to identify and change patterns of thinking and behavior that contribute to emotional distress. CBT is practical and goal-oriented, often used for mood disorders, stress management and trauma-related symptoms.

Finding the right approach is part of the process; Margaret works collaboratively with clients and licensed professionals to determine which methods best match a person’s needs, goals and preferences, and she adapts techniques as progress unfolds.

Online therapy with Margaret is offered through video calls, phone sessions, live chat and text-based messaging, providing flexibility for busy schedules, geographic constraints and varying comfort levels with communication styles. These options make it easier to maintain continuity of care and access support from home or while traveling.

Ready to start therapy with Margaret Sue Echols?

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