- Warm and conversational
- Practical coping skills
- Experience with grief
About Mary
Mary Koch is a Licensed Mental Health Counselor (LMHC) with eight years of clinical experience. She greets clients in a warm, nonjudgmental way and aims to make the first steps feel manageable. Her approach is conversational and practical, so people often notice that simply talking helps them see things differently.
She uses a range of approaches such as cognitive behavioral techniques and acceptance strategies to help with stress, anxiety, depression, grief, and substance-related concerns. Sessions often involve noticing thoughts and gently trying different ways of thinking. She emphasizes helping people spot small positives and build on them.
Mary has worked in outpatient substance and alcohol services, schools from elementary to college levels, and correctional settings. That range has given her experience with trauma, mood differences, identity questions, and people coping with major life changes. Her background includes supporting people facing grief and loss related concerns.
In sessions she aims to be present and nonjudging. She sometimes uses simple items to promote focus during video meetings and encourages clients to notice how they describe their experiences. The work is collaborative and paced to each person’s comfort.
Scheduling is organized around her posted virtual hours. To begin, people use the platform’s Start Therapy button, complete a short matching questionnaire, then schedule a time that fits with the therapist’s availability.
She uses a range of approaches such as cognitive behavioral techniques and acceptance strategies to help with stress, anxiety, depression, grief, and substance-related concerns. Sessions often involve noticing thoughts and gently trying different ways of thinking. She emphasizes helping people spot small positives and build on them.
Mary has worked in outpatient substance and alcohol services, schools from elementary to college levels, and correctional settings. That range has given her experience with trauma, mood differences, identity questions, and people coping with major life changes. Her background includes supporting people facing grief and loss related concerns.
In sessions she aims to be present and nonjudging. She sometimes uses simple items to promote focus during video meetings and encourages clients to notice how they describe their experiences. The work is collaborative and paced to each person’s comfort.
Scheduling is organized around her posted virtual hours. To begin, people use the platform’s Start Therapy button, complete a short matching questionnaire, then schedule a time that fits with the therapist’s availability.
Areas of expertise
Primary focus
Also works with
Additional focus areas
AbandonmentAttachment issuesAvoidant personalityBlended family issuesBody imageCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPost-traumatic stressPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexualitySocial anxiety and phobiaSomatizationTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues
Therapeutic approaches
Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy
Experience
8+ years
Credentials
Iowa, Florida
Languages
English
How approaches shape online sessions
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting stuck in them, then choosing actions that reflect personal values. It can help when worry, avoidance, or low mood get in the way of meaningful living. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and teaches simple skills to challenge unhelpful thinking and try new behaviors. It often helps with anxiety, depression, and sleep problems. Attachment-Based Therapy pays attention to how early relationships influence current patterns and can be useful for people who want to change how they connect with others.Finding the right approach is part of the therapy process. The therapist works together with each person to decide which methods fit their goals, preferences, and life situation. Plans can change over time as needs shift and progress is made.
Because session formats are not specified in the original biography, confirm current online options before booking. Online work can make it easier to fit therapy into a busy week, reduce travel time, and allow shorter check-ins when needed. It also lets people try talking through difficult topics from a comfortable moment during the day. The focus remains on practical strategies and connection rather than on any particular delivery method.
Frequently asked questions
What concerns does Mary commonly address?
She helps people dealing with stress, anxiety, depression, grief, sleeping problems, addictions, and challenges related to identity and life changes.
How would you describe her therapy style?
Sessions are conversational and client-centered, with practical exercises and gentle reframing to help people notice different perspectives.
What kind of professional background does she have?
Mary has eight years of experience working in outpatient substance and alcohol services, schools, and correctional settings, giving her a broad clinical background.
What credentials and location are listed for this therapist?
Mary holds the LMHC credential and is licensed as FL LMHC and IA LMHC, and she practices from Iowa.
Which languages are used in sessions and are international clients supported?
Sessions are offered in English and international clients are not currently accepted.
What formats are available for sessions?
Confirm current session options before booking to learn which formats are offered and how they fit your needs.
How does pricing work for sessions?
Costs vary with location and therapist scheduling; sessions use a subscription that can be canceled at any time.
How do I begin working with Mary?
Use the Start Therapy button, complete the short matching questionnaire, and then schedule according to the therapist’s posted availability.