About Mary
Mary Geiger uses practical, evidence-based therapies to help people manage stress, anxiety, addiction, trauma, and mood concerns. She holds Montana licenses as an LCPC and an LMFT and brings 14 years of experience to her work. Mary focuses on clear goals and real-life skills in sessions so people can feel steadier at home and in relationships.
Her approach blends Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and Dialectical Behavior Therapy, along with motivational interviewing and solution-focused techniques.
How Mary works
She starts by learning what matters most to each person and then chooses strategies together. Sessions are goal-oriented and include skills practice, problem solving, and emotion regulation work. Mary has a background offering substance use and mental health treatment in correctional settings as a clinical director, and she maintains a independent practice in Montana.
That mix has shaped a straightforward style that emphasizes accountability and practical change. She also addresses trauma and grief with careful pacing and attention to safety. People come for help with relationship problems, parenting strain, sleep and eating concerns, self-esteem struggles, ADHD, bipolar and mood disorders, or challenges around intimacy and connection.
Mary also supports those dealing with abandonment, codependency, communication problems, and loneliness. Sessions adapt to the person’s needs, with collaborative planning and measurable steps. She aims to make therapy usable between appointments so people notice small improvements quickly.
Mary lists 6 ways of working on the entry:
What Mary works with
The areas below are the ones Mary selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- ADHD
- Anger management
- Antisocial personality
- Attachment issues
- Bipolar disorder
- Codependency
- Communication problems
- Coping with life changes
- Dependent personality
- Depression
- Eating disorders
- Family conflicts
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Mood disorders
- Parenting issues
- Post-traumatic stress
- Relationship issues
- Self esteem
- Sleeping disorders
Training and background
| Registers | LCPC, LMFT |
|---|---|
| Years in practice | 14 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Montana |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How therapy approaches translate online
Acceptance and Commitment Therapy (ACT) focuses on helping people notice their thoughts and choose actions that match their values. It is useful for anxiety, depression, and coping with life changes because it emphasizes meaningful action despite difficult feelings. Cognitive Behavioral Therapy (CBT) examines unhelpful thought patterns and teaches practical strategies to change behavior and mood. CBT is effective for depression, anxiety, sleep and eating problems, and managing mood swings. Dialectical Behavior Therapy (DBT) teaches emotion regulation, distress tolerance, and interpersonal effectiveness skills. It is helpful for strong emotions, relationship conflicts, and impulse control issues.Finding the right approach is a shared process. The therapist will listen to the person’s goals and try different techniques to see what fits best. Sessions are collaborative, with ongoing discussion about which methods are helping and adjustments made as needed.
Online therapy here is offered by licensed professionals using video calls, phone sessions, live chat, or text-based messaging. Video calls work well for in-depth conversations and skills practice. Phone sessions can be a good option when bandwidth is limited or a shorter check-in is needed. Live chat and text messaging allow quick updates, brief coaching, and support between longer sessions. These formats give flexibility to fit therapy into work, parenting, or travel schedules while keeping consistent progress.
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Common questions
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How much clinical experience does she have?
What credentials does she hold and where is she located?
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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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