About Mary
Mary Koch is a licensed mental health counselor with eight years of experience. She offers a warm, nonjudgmental presence and a straightforward way of talking that helps people feel heard. Her approach is conversational and practical, with room for simple tools to help calm the mind and notice small positive changes.
Mary uses methods such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and attachment-focused work to address stress, anxiety, depression, and trauma.
Background and approach
She also supports people dealing with sleep problems, addiction concerns, grief, anger, bipolar symptoms, and issues related to sexual identity. She aims to reflect what clients say back in ways that make new perspectives clearer. Her background includes outpatient work for people with substance use and co-occurring conditions, school-based counseling from early childhood through college-aged students, and work inside correctional settings.
That range informs how she meets people where they are and adapts tools to real-life needs. She emphasizes that the change comes from the client, with the therapist holding a steady, judge-free space. Sessions are conversational and may include brief exercises or reframing to shift unhelpful thinking.
Mary encourages noticing small wins and building on them over time. She communicates with clients by messaging during typical weekday hours and may offer adjustments when needed. Mary practices in Iowa and holds LMHC credentials in Florida and Iowa.
She works in English and does not accept international clients. For people seeking help with phobias or other concerns, she provides practical, approachable support to begin the process of change.
Approaches for online care and what they involve
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting stuck in them. It helps people clarify their values and take small actions that match what matters most, which can ease avoidance and fear-based responses.Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors connect. It uses practical exercises to identify unhelpful thinking patterns and try new, more effective ways of responding to stress, anxiety, and mood concerns.
Attachment-Based Therapy pays attention to how early connection patterns shape current relationships and emotion regulation. It can help people understand fears around abandonment, trust, and closeness so they can try different ways of relating to others and to themselves.
Finding the right approach is collaborative. The therapist will talk with the client about goals and preferences, try methods that fit the issue, and adjust as needed. Together they decide what feels most useful rather than committing to a single method from the start.
Online sessions are offered by licensed professionals through video calls, phone sessions, live chat, and text-based messaging. Video is useful for deeper conversation and visual cues, phone works well when bandwidth or camera use is limited, live chat can be a shorter check-in, and messaging lets people share thoughts between sessions. These options make care more flexible for different schedules and day-to-day needs.
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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