About Mary
Mary (Peggy) Keating is a licensed independent social worker with 40 years of experience helping people untangle the problems that get in the way of daily life. She works with adults who are dealing with anxiety, stress, mood concerns, grief, addiction, trauma, relationship difficulties, and related issues. Her manner balances warmth with directness when that nudge is needed.
She keeps sessions straightforward and practical. Conversations focus on what is happening now and what small steps can make a difference.
Background and approach
Mary uses approaches such as cognitive behavioral work, mindfulness practices, and psychodynamic ideas to understand patterns and try new ways of responding. Mary also brings experience with trauma-focused techniques and motivational methods for people facing addiction or major life shifts. She pays attention to identity and LGBT concerns and to challenges that arise with aging, caregiving, chronic illness, or blended family roles.
She aims to help people clarify values and strengthen coping skills. Her style can be gentle and supportive while still offering honest feedback when clients feel stuck. Sessions are collaborative; clients set goals and Mary helps map practical steps toward them.
Treatment plans are tailored to each person’s needs and pace. Mary practices in Ohio and holds an OH LISW credential, which she uses in her clinical work. She offers sessions in English across several remote formats to fit different schedules and preferences.
How her approaches translate to online care
Mary often uses cognitive behavioral therapy, which focuses on identifying unhelpful thoughts and testing new behaviors to reduce anxiety and improve mood. Sessions include practical exercises and homework that can be done between meetings to build new habits.She also works with eye movement desensitization and reprocessing, a trauma-focused method that helps reduce the intensity of painful memories by pairing focused attention with guided processing. This can be helpful for people coping with past abuse or other upsetting events.
Finding the right approach is part of the work together. Mary will discuss options, listen to a client’s concerns and preferences, and tailor methods to match goals. That decision is collaborative and may change as progress unfolds.
Online therapy makes it easier to fit sessions into a busy life. Video calls allow face-to-face conversation when visual cues matter. Phone sessions use less bandwidth and can be simpler on low-data connections. Live chat and text-based messaging offer brief check-ins or a way to process thoughts between longer appointments. These options increase flexibility and help people continue work even when schedules or travel make in-person visits difficult.
Questions people ask
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What this therapist works with
Most often
Also listed
- ADHD
- Aging and geriatric issues
- Anger management
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating disorders
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Immigration issues
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Paranoia
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Traumatic brain injury
- Visually impaired
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 40 years
- Licensed
- Ohio
- Languages
- English
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