Elizabeth Kotkin, LMFT

Elizabeth Kotkin is a licensed marriage and family therapist - LMFT - practicing in New York with 35 years of clinical experience. She works with people facing depression, trauma, grief, addiction, anxiety, and anger, as well as relationship and parenting stresses.

She uses plain, practical methods in session. Elizabeth listens first, then helps people set clear goals and steps they can try between meetings. She often combines client-centered conversations with more focused techniques to challenge unhelpful thoughts and build better habits.

Her background includes long experience helping people recover from sexual assault and other traumatic events. She also supports those coping with abandonment, codependency, divorce and separation, and family of origin issues. Many clients bring worries about shame, isolation, or midlife changes; she addresses these steadily and directly.

Sessions include work on specific skills - for example, ways to manage anger in the moment, strategies to improve sleep, and tools to reduce substance use or cravings. Elizabeth also uses motivational interviewing to help people find their own reasons for change and solution-focused strategies to keep progress practical and short-term when that fits.

Elizabeth writes and speaks about stress, compassion fatigue, and women's midlife concerns. She emphasizes clear steps clients can practice, and she helps people track what actually changes week to week. Her style is straightforward and goal-oriented, aimed at helping clients reduce distress and increase day-to-day functioning.

How Elizabeth’s approaches translate to online work