About Mary
Mary Koch is a Licensed Mental Health Counselor with eight years of clinical experience. She greets people with a warm, nonjudgmental presence and focuses on practical, conversational work that helps clients notice new perspectives. Mary aims to make the first step feel manageable for someone who is worried or unsure.
In sessions she listens closely and reflects what she hears in a plain way. That helps people notice patterns and shifts in how they think and feel.
How Mary works
She often uses straightforward techniques from cognitive behavioral approaches and Acceptance and Commitment Therapy to help with anxiety, depression, stress, and sleep problems. Mary has worked in a range of settings including outpatient substance and alcohol services, schools, and correctional facilities. Those roles gave her experience with trauma, grief, dual-diagnosis needs, personality challenges, and questions about sexual identity.
This background informs how she supports people facing complex concerns like addiction, bipolar symptoms, or coping after a loss. Her approach is collaborative and grounded. She encourages people to find small, concrete steps they can use between sessions.
Mary also helps clients look at attachment and relationship patterns when those issues come up. Sessions are conversational and focused on what the person wants to change. She aims to create a calm setting where people can be angry, sad, tired, or relieved and still be heard.
Mary lists 10 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.
- Stress, Anxiety
- Trauma and abuse
- Sleeping disorders
Also listed
- Abandonment
- Addictions
- Anger management
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Personality disorders
- Phobias
- Post-traumatic stress
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 8 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Iowa |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How Mary brings therapeutic approaches online
Mary uses Acceptance and Commitment Therapy (ACT) to help people notice their values and take small steps toward them, even when feelings are difficult. ACT focuses on actions that matter to the individual rather than trying to eliminate uncomfortable thoughts. She also draws on Attachment-Based Therapy to look at patterns in relationships and how early bonds show up in adult behavior, which can help with communication, abandonment concerns, and connection issues.Finding the right approach is a collaborative process. Mary works with each client to pick methods that match their goals, needs, and preferences. She checks in about what is helping and adjusts the plan so the work fits the person's life and priorities.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to make therapy more flexible. Video lets people use visual cues and share worksheets. Phone sessions work well when bandwidth is limited or someone prefers not to be on camera. Live chat or text-based messaging can be useful for brief check-ins, ongoing support between sessions, or when a shorter interaction fits a busy schedule. These options make it easier to fit therapy into daily life and keep momentum between meetings.
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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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