About Ann
Ann Koch greets readers with a calm, direct style. She aims to create a warm, trusting relationship where people can talk about what feels hard. Ann uses straightforward language and practical tools to help people manage worry, anger, and big life changes.
Ann is a Licensed Clinical Social Worker, or LCSW, with 15 years of experience. She practices in North Carolina and focuses on stress, anxiety, trauma and abuse, anger, self-esteem, and coping with life changes.
How Ann works
Her work also addresses attachment concerns, communication problems, guilt and shame, impulsivity, loneliness, mood disorders, panic, post-traumatic stress, social anxiety, and women’s issues. She draws on evidence-based therapeutic techniques and describes her approach as trauma-informed. Ann includes mindfulness, breathing and simple visualization exercises when helpful.
Sessions emphasize practical steps people can use between meetings as well as brief skill building during sessions. Ann has worked across a range of settings during her career, and she brings that variety of experience into meetings with clients. She centers empathy, gentle challenge, and a realistic plan for change so that progress feels manageable.
Her style blends calm support with clear direction. People who choose Ann can expect a straightforward, compassionate space to talk about what matters most. She helps people find ways to feel more grounded, gain small wins, and move toward clearer goals.
What Ann works with
The areas below are the ones Ann selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Trauma and abuse
- Anger management
Also listed
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 15 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Evidence-based approaches and online care
Ann uses evidence-based therapeutic techniques that focus on practical change. Cognitive Behavioral Therapy involves looking at thoughts and behaviors that keep problems going and trying small, testable changes to see what helps. Acceptance and Commitment Therapy helps people notice difficult feelings without getting stuck in them and use personal values to guide action. Both approaches can help with anxiety, panic, mood concerns, and stress.Finding the right approach is part of the work. The therapist will collaborate with each person to choose which techniques fit their needs, goals, and preferences. This means trying methods, checking how they feel, and adjusting the plan together over time.
Online therapy makes those options accessible through several formats. Video calls let people work face to face when longer discussions or exercises are needed. Phone sessions can be a good option when bandwidth is low or when someone prefers not to be on camera. Live chat and text-based messaging offer brief check-ins, homework support, or shorter conversations between sessions. These formats give flexibility to fit therapy into work, family, and daily life.
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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