Dr. Marcia Cooke, LMFT

Dr. Marcia Cooke is a Licensed Marriage and Family Therapist (LMFT) with 24 years of clinical experience who works with adults and families across a range of concerns. She is licensed in California, Nevada, Oregon, and South Carolina and draws on extensive experience supporting people with stress, anxiety, relationship and family conflicts, trauma and abuse, and depression. Her practice emphasizes respectful, sensitive, and compassionate care and she adapts conversations and treatment plans to reflect each person’s individual needs and circumstances.

Dr. Cooke approaches therapy with a practical focus on restoring connection and improving daily functioning. She is comfortable addressing co-occurring issues such as communication problems, control issues, family of origin concerns, guilt and shame, impulsivity, loneliness, mood disorders, social anxiety, workplace struggles, and challenges common to young adults and veterans. Her goal is to help clients identify manageable steps toward change while honoring their values and pace.

Beginning therapy can require courage and commitment, and Dr. Cooke recognizes that first step. She encourages clients by offering clear guidance and a collaborative process that tailors goals and interventions to what matters most to each person.

Evidence-Based Approaches and Online Care

Dr. Marcia Cooke frequently uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy in her practice. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thought patterns and testing new behaviors to reduce symptoms of anxiety and depression and to improve day-to-day coping. Dialectical Behavior Therapy (DBT) teaches skills for managing intense emotions, improving interpersonal effectiveness, and reducing impulsive reactions, which can be helpful for people struggling with mood swings, impulsivity, or relationship conflicts.

Choosing the right therapeutic approach is part of the collaborative work between therapist and client. Dr. Cooke will discuss options, tailor methods to each person’s goals and preferences, and adjust the plan as progress is made to ensure the work fits the client’s needs.

Online therapy with Dr. Cooke offers practical flexibility - sessions can be scheduled as video calls, phone conversations, live chat, or text-based messaging. This range of formats helps people fit therapy into busy lives, maintain continuity of care when travel or scheduling challenges arise, and access consistent support from licensed professionals regardless of location within her practice area.