About Mary
Mary Koch is a licensed mental health counselor (LMHC) with eight years of clinical experience. She creates a calm, welcoming space and uses plain talk to help people sort through stress, anxiety, grief, and other concerns. She often offers video sessions with simple items to fidget with and a relaxed conversational style.
Sessions feel like a guided conversation where clients hear their own thoughts reflected back to them. In session she draws from several approaches including cognitive behavioral techniques and acceptance strategies.
Background and approach
That means she helps people notice patterns of thought, try small experiments, and practice new ways of responding. She emphasizes practical steps you can use between sessions to sleep better, manage anger, and cope with life changes. Mary has worked in outpatient settings for substance and alcohol concerns, in schools spanning early childhood through college, and with people in correctional facilities.
That range informs a straightforward, nonjudgmental approach to complex problems like trauma, addiction, and co-occurring conditions. She also supports people exploring sexual identity and gender questions. Her practice in Iowa focuses on common struggles such as depression, self-esteem, attachment issues, and the fallout from domestic violence or separation.
She aims to help people reframe hard experiences and notice small positives that build momentum. Sessions are offered via video calls, phone, live chat, or text messaging. Scheduling is done through a short matching questionnaire and a subscription-based model that can be canceled at any time.
How therapy approaches translate to online care
Mary uses cognitive behavioral therapy (CBT) to help people notice unhelpful thoughts and test small behavior changes. CBT is practical and works well for anxiety, sleep problems, and low mood. Acceptance and Commitment Therapy (ACT) is another approach she uses to help people accept difficult feelings and focus on values-driven action. ACT can help with ongoing worry, avoidance, and coping with big life changes.Finding the right method is a team effort. The therapist will talk with each person about their goals and try approaches that match those needs. If something doesn't fit, adjustments are made together so the work feels useful and manageable.
Online formats include video calls, phone sessions, live chat, and text-based messaging to fit different needs. Video lets clients read facial cues and use visual tools, phone can be easier when bandwidth is low, live chat is useful for short check-ins, and messaging supports ongoing contact between sessions. These options make it simpler to keep therapy consistent around work, school, or caregiving responsibilities.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Trauma and abuse
- Sleeping disorders
Also listed
- Abandonment
- Addictions
- Anger management
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Personality disorders
- Phobias
- Post-traumatic stress
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 8 years
- Licensed
- Iowa, Florida
- Languages
- English
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