- 39 years experience
- Bilingual English Spanish
- Focus on communication
About Mary
Mary Acosta-Granger is an LCSW who helps adults facing stress, anxiety, depression, and relationship concerns. She works with people dealing with grief, addiction, trauma and abuse, codependency, and changes in life that feel overwhelming. Sessions are offered in English and Spanish, and Mary draws on decades of clinical experience to meet people where they are.
Mary brings 39 years of practice as a psychotherapist and counselor in Texas. She favors warm, interactive sessions that focus on clear goals. Together with each person she builds a treatment plan that fits their situation and priorities rather than using a one-size-fits-all approach.
Her work often centers on communication problems, parenting strain, caregiver stress, blended family challenges, and intimacy-related issues. She also supports people coping with bipolar disorder, anger, compassion fatigue, and the stresses of aging and geriatric concerns. Veterans and multicultural issues are among the additional areas she addresses.
Mary integrates Cognitive Behavioral Therapy, Client-Centered methods, Dialectical Behavior Therapy techniques, the Gottman Method, and Mindfulness practices in ways that reflect each person’s needs. She keeps sessions practical and focused on skills people can use between meetings.
People can expect a respectful, nonjudgmental environment where goals are set together and progress is tracked. Mary aims to help people strengthen communication, manage symptoms, and make changes that improve daily life and relationships.
Approaches that translate to online work
Client-Centered Therapy emphasizes listening and building rapport so people feel heard and respected; it helps when someone needs a space to talk through feelings and make their own choices. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing new behaviors, which can be useful for anxiety, depression, and stress by teaching practical skills to use between sessions. Dialectical Behavior Therapy (DBT) adds emotion regulation and distress tolerance tools that are helpful for intense emotions, relationship challenges, and communication struggles.Choosing the right approach is a collaborative process. Mary will work with each person to match methods to their goals, needs, and preferences. That means trying strategies, checking in on what helps, and adjusting the plan together over time.
Confirm current session options before booking so you know which formats are available. Online therapy can make it easier to fit sessions into a busy life by reducing travel time, allowing shorter check-ins when needed, and letting people meet from a quieter place. It also supports continuing skill practice between meetings and keeps momentum when life is hectic.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
39+ years
Credentials
Texas
Languages
English, Spanish
Frequently asked questions
What concerns does Mary commonly address?
She works with stress, anxiety, depression, grief, trauma and abuse, addictions, codependency, relationship and intimacy issues, parenting strain, anger, bipolar concerns, and related life changes.
What is her therapeutic style like?
Her style is warm and interactive. She uses goal-focused conversations and practical skills work to help people make manageable changes.
How long has she practiced?
Mary has 39 years of experience as a psychotherapist and counselor, working with people across a wide range of concerns.
What credentials does she hold and where does she practice?
She is a Licensed Clinical Social Worker, LCSW, licensed in Texas and practices there.
Which languages are available for sessions?
Sessions are offered in English and Spanish, and she is a native-level Spanish speaker comfortable with European and Latin American varieties.
Can people outside the U.S. work with her?
International clients are not currently accepted; sessions are provided to people located in Texas.
How does scheduling and cost work?
Cost varies with location and therapist availability; sessions use a subscription model 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 then schedule a time based on therapist availability.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.