About Mary
Mary Keane welcomes people who are feeling overwhelmed, stuck, or unsure about their next step. She writes simply and listens closely to help people sort through stress, anxiety, relationship strain, grief, self-esteem concerns, and major life changes. Mary is a Licensed Independent Clinical Social Worker, LICSW, with ten years of practice in the District of Columbia.
She keeps sessions straightforward and focused. Conversations center on what is happening now and what practical steps feel manageable for each person.
How Mary works
Her work often addresses deeper patterns that show up around abandonment, attachment, and family of origin issues. She also supports people facing aging and geriatric concerns, chronic illness or pain, body image struggles, and questions about fatherhood. First responder issues, coping after disasters, and end-of-life or hospice-related distress are part of her experience as well.
Mary uses evidence-based therapeutic techniques to help people build coping skills and make changes that matter. She aims for clear goals, gentle accountability, and tools that fit everyday life. Sessions are collaborative so people leave with specific next steps they can try between meetings.
Her approach is practical and compassionate. If someone wants to begin, they select the Start Therapy button, complete a brief matching questionnaire, and schedule according to therapist availability. Sessions are offered in English and delivered via several online formats.
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.
- Stress, Anxiety
- Relationship issues
- Grief
Also listed
- Abandonment
- Aging and geriatric issues
- Attachment issues
- Body image
- Chronic pain, illness, and disability
- Codependency
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Family of origin issues
- Family problems
- Fatherhood issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Obsessions, compulsions, and OCD
- Phobias
- Post-traumatic stress
- Process addiction (porn, exercise, gambling)
- Self esteem
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Training and background
| Register | LICSW |
|---|---|
| Years in practice | 10 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | District of Columbia |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that guide online sessions
Mary uses evidence-based therapeutic techniques that focus on practical change and coping. One common method emphasizes building specific coping skills to manage anxiety and stress; this approach gives clear tools to use when feelings escalate. Another approach looks at attachment and family of origin patterns to help people understand recurring relationship dynamics and how those patterns affect current choices.Finding the right approach is part of the work. Mary will talk with each person about their needs, goals, and preferences and then choose or adapt techniques together. The process is collaborative so the plan fits the person rather than forcing a single method.
Online therapy formats include video calls, phone sessions, live chat, and text-based messaging. Video calls work well for conversations that benefit from seeing one another. Phone sessions can be easier when bandwidth is limited or for shorter check-ins. Live chat and text messaging offer flexibility for brief updates, check-ins between sessions, or when scheduling makes real-time conversation difficult. These options help people fit therapy into busy lives and maintain continuity of care.
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Common questions
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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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