Elizabeth Kotkin, LMFT

Elizabeth Kotkin is a Licensed Marriage and Family Therapist (LMFT) who brings 35 years of experience to her work with individuals facing emotional and relational challenges. She has worked across both New York and California and focuses on supporting people through depression, trauma, grief, and major life transitions. Her practice also addresses social anxiety, isolation, shame, and a range of relationship difficulties including codependency and issues related to intimacy and family dynamics.

Her style is compassionate and individualized, shaped by decades of clinical practice and a commitment to helping clients build resilience. She is particularly experienced in guiding women through midlife transitions, assisting those recovering from addiction, and helping survivors of abuse process their experiences. Kotkin works to create a space where people can explore painful emotions, gain clearer self-understanding, and develop practical strategies for change.

Known for blending empathy with practical tools, she supports clients as they move from feeling stuck toward greater agency and fulfillment. Elizabeth Kotkin draws on established therapeutic approaches to tailor treatment to each person’s goals and circumstances, offering steady professional guidance and respect throughout the therapeutic process.

Therapeutic Approaches and Virtual Care

Elizabeth Kotkin integrates client-centered therapy and cognitive behavioral therapy to tailor treatment to each person. Client-centered therapy emphasizes listening and collaboration, helping clients feel heard and respected while they explore personal values, relationships, and emotional needs. Cognitive behavioral therapy focuses on identifying unhelpful thoughts and patterns and developing practical skills to manage symptoms like anxiety, depression, or sleep difficulties.

She also draws on trauma-focused therapy when past traumatic events are central to a person’s difficulties, using structured methods to process traumatic memories and reduce their ongoing impact. These approaches are chosen to match the nature of the concerns presented and the client’s readiness for change.

Finding the right approach is part of the therapeutic process. Elizabeth works collaboratively with clients to determine which methods fit their goals, preferences, and life circumstances, adjusting the plan as progress is made.

Online therapy offers flexible ways to engage with licensed professionals. Video calls and phone sessions allow for real-time conversation, while live chat and text-based messaging provide options for brief check-ins and support between sessions. This variety helps make therapy more accessible for people balancing work, family, or mobility needs, and supports continuity of care when in-person visits are not feasible.