About Mary
Mary (Peggy) Keating is an Ohio licensed independent social worker with 40 years of clinical experience. She focuses on practical steps people can use to feel steadier and more in charge of their lives. Mary listens closely, offers clear feedback, and helps clients move past whatever keeps them stuck.
Mary helps people with stress, anxiety, depression, grief, addiction, trauma and abuse, and issues around identity and intimacy. She also supports those dealing with sleep and eating problems, career strain, compassion fatigue, and the challenges of aging or caregiving.
How Mary works
Her practice includes attention to BDSM and kink cultures, blended family concerns, chronic illness and pain, and communication or commitment problems. Her style blends straightforward conversation with reflective work. Sessions can include mindfulness exercises, behavior-focused strategies, and exploring patterns from the past that still matter today.
She balances gentle support with direct feedback when change requires it. Mary uses a range of methods that include cognitive behavioral work, eye movement desensitization and reprocessing, motivational interviewing, and psychodynamic approaches. She tailors techniques to each person’s needs rather than following a single formula.
Short-term goals and longer-term insight work can be part of the same plan. People who want a clear path forward tend to do well with her. She helps set concrete steps, checks progress, and adjusts the plan as life changes.
Sessions are offered in English and are provided online in several formats.
Mary lists 7 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
- ADHD
- Aging and geriatric issues
- Anger management
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating disorders
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Immigration issues
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Paranoia
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Traumatic brain injury
- Visually impaired
- Women's issues
- Workplace issues
Training and background
| Register | LISW |
|---|---|
| Years in practice | 40 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Ohio |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches and online care that fit your life
CBT, or cognitive behavioral therapy, focuses on identifying unhelpful thoughts and changing behaviors that keep problems going. It is useful for anxiety, depression, sleep and eating issues, and many everyday stressors. EMDR, eye movement desensitization and reprocessing, is a structured approach that helps people process traumatic memories so they cause less distress in daily life. Mindfulness therapy teaches simple attention and breathing practices to lower reactivity and improve calm during stressful moments.Finding the right approach is a collaborative process. The therapist will talk with the client about current goals, symptoms, and preferences, then suggest which methods to try first. Plans can shift over time, combining short-term skill-building with deeper exploration when needed.
Online therapy offers practical flexibility. Video calls let people use visual cues and mirror the feel of in-person sessions. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging support brief check-ins, quick coaching, or follow-up between longer sessions. These options make it possible to fit therapy into a busy life and maintain continuity as needs change.
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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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