- ACT
- CBT
- Mindfulness
About Hope
Hope Otto is a Licensed Professional Counselor (LPC) in Texas with three years of counseling experience. She focuses on relationship concerns, trauma and abuse, parenting, coping with life changes, stress, anxiety, grief, mood disorders, and issues related to identity and LGBT concerns. Hope also lists life purpose among her areas of focus and includes several related topics such as abandonment, adoption and foster care, and caregiver stress.
She previously worked for many years as an educator, supporting children to feel calm and understood. That background shapes how she listens and responds today. Sessions tend to be conversational and practical, with an emphasis on identifying what matters and small steps people can try between meetings.
Hope draws on several approaches when helping people who feel stuck or uncertain. She uses Acceptance and Commitment Therapy (ACT) to help clients notice what matters and act on their values. Cognitive Behavioral Therapy (CBT) is used to name and test unhelpful thinking patterns. Client-Centered Therapy brings a focus on the person’s experience in the moment.
People working with Hope can expect a blend of skills practice, reflective talking, and planning for real-life situations. She pays attention to stress, anger, eating concerns, and symptoms such as low mood or attention differences, and helps people develop coping strategies they can use day to day.
Her work also addresses relational patterns like codependency, communication problems, divorce and separation, and forgiveness. For anyone wrestling with what comes next after a life change, she helps clarify values and next steps in straightforward terms.
How Hope’s approaches shape online sessions
Hope often uses Acceptance and Commitment Therapy (ACT) to help people notice what matters most and take small actions aligned with those values. ACT is practical for decisions about work, relationships, and life purpose because it links values to everyday choices.Cognitive Behavioral Therapy (CBT) is another tool she uses to identify unhelpful thoughts and test them with real-life experiments. CBT is useful for tackling anxiety, low mood, and patterns that keep someone feeling stuck.
She also draws on Client-Centered Therapy, which centers on listening and reflecting the person’s experience so they can better understand their goals. That approach supports people who are unsure what to do next by clarifying feelings and priorities.
Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and how a method fits the issue at hand, and then adjust as progress and needs become clearer. It is a collaborative process rather than a fixed plan.
Session formats are not specified in the biography, so confirm current session options before booking. In general, online sessions can make it easier to fit therapy around work, school, or caregiving by removing travel time. They also allow brief check-ins when schedules are tight and let people choose audio or video depending on bandwidth and comfort.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
3+ years
Listed in
Texas
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with relationship issues, trauma and abuse, parenting challenges, stress, anxiety, mood disorders, and life purpose concerns among others.
How would she approach feeling stuck or directionless?
Her approach mixes Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and client-centered conversation to clarify values and identify practical next steps.
What is her background and clinical experience?
Hope has three years of counseling experience and previously spent about twenty years as an educator supporting children.
What are her credentials and where does she practice?
She is an LPC, listed as TX LPC, and practices in Texas.
Can sessions be conducted in languages other than English?
Sessions are offered in English.
Does she work with clients outside the United States?
She accepts international clients.
How are sessions paid for and what does it cost?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.