AK Portrait of Ann Koch

Ann Koch, LCSW

Steady, practical support for anxiety and stress

15 years in practice · based in North Carolina · sessions in English · online sessions

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About Ann

Ann Koch is a licensed clinical social worker with 15 years of experience helping people manage anxiety, stress, and major life changes. She creates a calm, steady presence so people can talk through what matters most. Ann aims to build a trusting relationship where small steps lead to clearer thinking and better coping.

She works with adults on issues like trauma and abuse, anger, low self-esteem, panic attacks, and mood concerns.

Book with Ann Now Review online therapy options and next steps.

Background and approach

Ann also supports people who feel isolated, struggle with communication, or carry guilt and shame. She brings a practical focus to everyday problems so conversations translate into doable changes. Ann uses evidence-based therapeutic techniques to guide sessions.

She incorporates mindfulness and simple mind-body practices when helpful, and she explains tools in plain language so people can try them between visits. Her approach is straightforward and collaborative rather than overly clinical. Her background includes diverse clinical settings over a 15-year career in North Carolina.

That experience informs how she meets people where they are and adapts strategies to fit real life. Ann emphasizes warmth and a bit of humor alongside steady clinical care. If someone is ready to address anxiety, coping, or recovery after trauma, Ann helps set clear goals and practical steps.

She focuses on building skills for everyday life and supporting clients as they try new ways of responding to stress.

How evidence-based approaches translate online

Ann uses several evidence-based techniques in clear, practical ways. Cognitive Behavioral Therapy helps identify and change unhelpful thoughts and behaviors, which is useful for anxiety, panic, and low mood. Acceptance and Commitment Therapy focuses on values and committed action, helping people move forward even when difficult feelings remain. Mindfulness-based practices are offered as short exercises and guided visualizations to reduce stress and improve emotion regulation.

Choosing the right approach is a shared effort. Ann discusses goals and preferences with each person and adjusts methods over time. She treats the first few sessions as a time to find what fits best and to build a plan that feels manageable and realistic.

Online sessions make it easier to fit therapy into busy lives. Video calls let people use face-to-face work when helpful, while phone sessions can be shorter check-ins or an option when bandwidth is limited. Live chat and text-based messaging allow ongoing support between sessions and work well for tracking progress or brief problem-solving. These options provide flexibility so people can maintain momentum while juggling work, family, and other commitments.
Book with Ann Now Review online therapy options and next steps.

Questions people ask

What kinds of concerns does Ann help with?
She helps people facing stress, anxiety, trauma and abuse, anger, low self-esteem, and coping with life changes, along with related issues such as panic attacks and social anxiety.
What is her therapeutic style like?
Sessions are collaborative and practical. Ann uses straightforward tools, mindfulness, and step-by-step strategies to help clients apply changes in daily life.
How much clinical experience does she have?
Ann has 15 years of experience working in a range of clinical settings in North Carolina.
What credential does she hold and where is she based?
She is an LCSW - Licensed Clinical Social Worker - practicing in North Carolina.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How do costs and getting started work?
Costs vary by location and therapist availability and use a subscription that can be canceled at any time. To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule based on availability.

What this therapist works with

Most often

Experience
15 years
Licensed
North Carolina
Languages
English

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