Elizabeth Kotkin, LMFT

Elizabeth Kotkin is a licensed marriage and family therapist (LMFT) with 35 years of experience. She offers calm, practical support for people facing big emotional challenges. She focuses on day-to-day steps that help someone feel steadier and more able to cope.

Elizabeth uses a conversational, person-centered style. She listens first, then helps people set small goals they can try between sessions. She often combines practical skills with discussion about patterns that keep problems going. Sessions aim to make change feel manageable instead of overwhelming.

Her practice includes work on depression, anxiety, grief, and trauma. She also helps people dealing with addiction, codependency, and the strain of major life changes like divorce or aging. Midlife crisis is a named focus area, and she supports people who are rethinking priorities or roles at midlife.

Elizabeth brings particular experience with relationship concerns, social anxiety, parenting stress, and issues connected to family of origin. She pays attention to shame, isolation, and guilt so these themes are not left unspoken. Her approach is steady and pragmatic, with a clear focus on what the client wants to change.

Clients can expect collaborative planning, straightforward behavioral tools, and space to process painful memories when needed. She works in English from her New York practice and draws on decades of clinical experience to tailor care to each person’s situation.

How therapeutic approaches guide online care

Client-Centered Therapy focuses on listening and responding to each person's needs. It helps people feel understood and supports work on whatever matters most to them, such as midlife questions, relationship worry, or grief.

Cognitive Behavioral Therapy, or CBT, uses practical skill-building to change unhelpful thinking and behavior. It is often helpful for anxiety, depression, sleep problems, and stress by breaking problems into manageable steps.

Motivational Interviewing helps when people are uncertain about change. It uses reflective conversation to clarify goals and boost motivation for things like addressing substance use or improving self-care.

Finding the right approach is part of the work. The therapist will talk with the client about symptoms, goals, and preferences and then try methods that fit. That planning is collaborative, and adjustments are made as progress is tracked.

If you are considering online therapy, confirm the current session options before booking since formats are not specified here. Online work can make scheduling easier and help sessions fit around family or job demands. It can also allow shorter check-ins, reduce travel time, and make it simpler to maintain regular appointments while juggling everyday life.