About Mary
Mary Acosta-Granger is an LCSW licensed in Texas who helps adults who want to change how they feel and relate to others. She works with people facing stress, anxiety, depression, grief, addiction concerns, trauma, and everyday problems that get in the way of normal life.
Mary speaks English and Spanish and draws on nearly four decades of practice to guide conversations and set clear goals. Her style is warm and interactive.
Background and approach
She listens first, then helps clients build practical plans. Sessions focus on improving communication, managing strong emotions, and addressing patterns that cause repeated problems. She aims for straightforward tools people can use between sessions.
Mary blends client-centered work with cognitive-behavioral techniques and other approaches like dialectical skills and mindfulness. That mix lets her match methods to each person’s needs, whether the focus is coping skills, changing thought patterns, or better relationships. She also uses strategies informed by the Gottman Method for relationship concerns.
Her background includes long experience with serious mental illness as well as common life struggles. She has worked with people concerned about parenting, blended family issues, caregiver stress, aging, and multicultural challenges. That breadth helps when problems cross several areas at once.
In sessions she and the client set a treatment plan together and adjust it over time. People who come to Mary can expect straightforward talk, practical exercises, and an emphasis on real-world change.
How Mary’s Methods Adapt to Online Therapy
Client-Centered Therapy puts the client’s goals and experience at the center of sessions. It focuses on listening, empathy, and helping clients find their own answers to relationship and life problems. Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions and offers concrete exercises to change unhelpful patterns, which helps with anxiety, depression, and coping with change. Dialectical Behavior Therapy, or DBT, teaches skills for managing strong emotions and improving interpersonal effectiveness, useful when anger or intense stress gets in the way of daily life.Finding the right mix of approaches is part of the work. Mary will collaborate with each person to decide which methods fit their goals and preferences. She adjusts the plan over time based on what helps in real life and what the client wants to focus on.
Online sessions offer flexibility in how people meet with a therapist. Video calls allow face-to-face conversation for deeper interaction, phone sessions can be easier when bandwidth is limited, and live chat or text-based messaging suits shorter check-ins or people who prefer typing. These options make it easier to fit therapy around work, caregiving, or busy schedules while keeping the focus on practical skills and steady progress.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also works with
- Addictions
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Blended family issues
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Grief
- Intimacy-related issues
- Multicultural concerns
- Parenting issues
- Self esteem
- Trauma and abuse
- Veteran and Armed Forces Issues
Therapeutic approaches
- Experience
- 39 years
- Licensed
- Texas
- Languages
- English, Spanish