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LCSW

Margaret Couch, LCSW

  • Experience41 years
  • LocationIllinois
  • Focus areasADHD, Stress and Anxiety, and Parenting
  • Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
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About Margaret

Margaret Couch is a Licensed Clinical Social Worker (LCSW) based in Illinois who brings 41 years of mental health experience to her practice.

Background and approach

She works with people facing stress, anxiety, depression, bipolar disorder, ADHD, addictions, relationship and family difficulties, grief, trauma, parenting challenges, and a wide array of other concerns including eating and sleeping problems, anger, self-esteem, career transitions, and coping with life changes.

Her background also includes work with adoption and foster care issues, attachment and personality concerns, chronic illness and caregiver stress, and LGBT-related matters. Margaret emphasizes a respectful, person-focused approach, meeting clients where they are rather than where they are expected to be.

She treats each individual as more than a label or diagnosis and supports clients in reclaiming dignity and self-determination. Her therapeutic style draws on Client-Centered Therapy alongside evidence-based methods such as Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Emotionally-Focused Therapy, and the Gottman Method to tailor care to each person’s needs.

Clients seeking a collaborative, experienced clinician will find a practitioner who values partnership and practical change. Margaret accepts international clients and offers multiple online session formats to fit different schedules and preferences.

Approach and Accessibility in Online Therapy



Margaret uses Client-Centered Therapy, which focuses on understanding each person’s experience without judgment and supporting self-directed growth. This approach is helpful for people seeking validation, increased self-awareness, and a collaborative space to explore personal goals. She also applies Cognitive Behavioral Therapy (CBT) to help identify and shift unhelpful thinking and behavior patterns; CBT is often used to address anxiety, depression, ADHD-related challenges, and difficulties with coping and routines.

Finding the right therapeutic approach is treated as a collaborative process. The therapist will work with each client to consider goals, preferences, and life context and may blend techniques from different methods to fit what the client needs. Together they decide which strategies to emphasize and how to pace the work.

Online therapy offers practical flexibility through video calls, phone sessions, live chat, or text-based messaging, allowing people to schedule sessions around work, family, and travel. These options make it easier to maintain continuity of care and try different formats to see what best supports progress and comfort.

Frequently asked questions

What concerns does Margaret commonly address?
She supports people with stress, anxiety, depression, bipolar disorder, ADHD, addictions, relationship and family issues, trauma and grief, and many related concerns such as eating, sleeping, anger, and self-esteem.
What is her general therapeutic approach and style?
Her work is client-centered and collaborative, combining respect for an individual’s dignity with practical techniques drawn from CBT, DBT, EFT, and the Gottman Method to meet changing needs.
How many years of experience does she have?
She brings 41 years of experience in mental health practice and education to her work with clients.
What are her credentials and where is she located?
She is an LCSW licensed in Illinois with license number IL LCSW 149011307 and practices from that state.
Does she work with clients who live outside the United States?
Yes, she accepts international clients and offers services to people who are outside the country.
Which session formats are available for working together?
Sessions may take place via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How are costs and payment structured?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What steps are involved in getting started?
Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling a session according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyParenting issuesBipolar disorderDepressionADHD

Also works with

AddictionsLGBTRelationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesEating disordersSleeping disordersAnger managementSelf esteemCareer difficultiesCoping with life changesCoaching

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAutism and Asperger SyndromeAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesForgivenessGuilt and shameHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaSomatizationTraumatic brain injuryVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Gottman MethodMindfulness TherapyNarrative TherapySolution-Focused Therapy

Experience

41+ years

Licensed

Illinois

Languages

English

What Margaret can help with

Margaret Couch works with clients on stress and anxiety, parenting issues, bipolar disorder, depression, and ADHD.

How Margaret approaches therapy

Margaret's clinical approaches include Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), Gottman Method, Mindfulness Therapy, Narrative Therapy, and Solution-Focused Therapy.

Experience and training

Margaret is a Licensed Clinical Social Worker practicing in Illinois.