- ACT and CBT
- Attachment focus
- Emotion work
About Mary
Mary Koch is a Licensed Mental Health Counselor (LMHC) with eight years of clinical experience based in Iowa. She works with adults facing stress, anxiety, trauma and abuse, sleep problems, low self-esteem, depression, addictions, grief, anger, bipolar disorder, and other life changes. Mary also lists blended family issues and a range of attachment and relationship-related concerns among her focus areas.
Her style is straightforward and conversational. Sessions are conversational and often include gentle reframing so people can hear their own thoughts in a clearer way. She uses methods drawn from cognitive behavioral approaches and acceptance-based work alongside attachment-focused and emotion-oriented strategies.
Mary has worked across outpatient settings, substance and alcohol treatment for people with dual diagnosis, and in schools and correctional settings. That background means she has experience with grief, trauma, personality concerns, and sexual identity questions. She notes time spent supporting people through addiction-related challenges and through overlapping mental health issues.
In sessions Mary encourages noticing small positives and naming what matters to the client. She emphasizes that change comes from the person in therapy, and that the therapist's role is to reflect and reframe what the client brings. The tone is nonjudging and practical, with attention to immediate concerns such as sleep and coping skills.
To begin, interested people are asked to use the site process for matching and scheduling a first appointment. Cost varies with location and sessions operate via a subscription model that can be canceled at any time.
How her main approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, and then move toward actions that matter to them. This can help with anxiety, low mood, and major life changes.Attachment-Based Therapy focuses on patterns in close relationships and how early connection styles affect current reactions. It can be useful for people working through abandonment, attachment issues, or trust and communication problems in new households.
Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behaviors and teaches practical skills to change unhelpful patterns. It is commonly used for anxiety, depression, sleep problems, and coping with stress.
Choosing an approach is a collaborative process. The therapist will discuss goals, preferences, and what feels most helpful, then adjust methods as the work continues. Clients and the therapist decide together which techniques to use and when to shift focus.
The biography does not list specific online formats, so confirm current session options before booking. Online sessions can make it easier to fit therapy into busy schedules, cut travel time, and allow for shorter check-ins when needed. They also make it simpler to continue work during transitions in a blended household, such as moving between homes or juggling care responsibilities.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
8+ years
Listed in
Iowa, Florida
Languages
English
Frequently asked questions
What kinds of problems does she address?
She works with stress, anxiety, trauma, sleep problems, self-esteem, depression, addictions, grief, anger, bipolar disorder, and life changes. Blended family issues and attachment concerns are listed among her focus areas.
What is her therapeutic style like?
Her approach is conversational and reflective. She uses reframing and evidence-based techniques so clients can hear and evaluate their own thoughts.
How much clinical experience does she have?
She has eight years of experience working in outpatient care, substance and alcohol treatment, schools, and correctional settings.
Which credentials and state details are on file?
She is a Licensed Mental Health Counselor with licensure listed as FL LMHC and IA LMHC and practices from Iowa.
Can I work with her if I live outside the United States?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats are available?
The original biography does not specify session formats. Please confirm current online session options before booking.
How are fees handled?
Costs vary with location. Sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.