- Anxiety and depression
- Family of origin patterns
- Addiction and grief
About Mary
Mary (Peggy) Keating is an Ohio Licensed Independent Social Worker (LISW) with 40 years of clinical experience. She works with adults on problems that get in the way of everyday life, including anxiety, depression, relationship struggles, grief, addiction, and questions around identity and LGBT concerns.
Her approach balances straightforward feedback with steady support. She listens for patterns that come from the family people grew up in and points out how those patterns shape current choices. Sessions can address sleep and eating problems, parenting stress, coping with life changes, and attention or mood concerns.
Mary uses a mix of practical and reflective methods. Cognitive Behavioral Therapy helps people change unhelpful habits and thoughts. Mindfulness techniques are used to build present-moment focus. Psychodynamic ideas help connect current feelings to earlier family experiences.
She also draws on EMDR for people processing distressing memories and Motivational Interviewing when someone is weighing change steps. Mary aims to be direct when needed so clients can move past stuck patterns without avoiding difficult topics.
Her long experience includes work with aging and geriatric issues, caregiver stress, chronic illness and pain, blended family concerns, and a range of intimacy and sexual culture matters. Sessions are conducted in English and take place in Ohio; international clients are not accepted.
Approaches used in online sessions
Mary uses Cognitive Behavioral Therapy to help people spot and change unhelpful thoughts and behaviors; this approach is practical and often focuses on skills for anxiety, depression, and sleep or eating problems. EMDR is used to process distressing memories and reduce their emotional charge, which can help when past events continue to affect day-to-day life. Mindfulness Therapy teaches simple present-moment practices to reduce reactivity and improve attention and stress management.Choosing the right approach is collaborative. Mary will discuss goals and preferences, try methods that fit the person's needs, and adjust plans over time. The work combines skill-building, reflection on family-of-origin patterns, and concrete steps to handle immediate problems.
Confirm session formats before booking since the biography does not specify them. In general, online work can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and avoid travel time. It can also let someone choose sessions that match their energy level - for example a phone check-in instead of a longer video visit - but confirm which options are offered before scheduling.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
40+ years
Listed in
Ohio
Languages
English
Frequently asked questions
What concerns does she address?
She works with stress, anxiety, depression, relationship problems, addiction, grief, and issues tied to identity and LGBT matters, among other topics.
How would you describe her therapy style?
She combines direct, practical feedback with supportive listening and helps clients notice patterns that come from their upbringing.
How much clinical experience does she have?
Mary has 40 years of experience working with adults on a wide range of concerns and life stages.
What are her credentials and where is she based?
She is an Ohio LISW and practices in Ohio.
Which languages are offered and are international clients supported?
Sessions are offered in English and international clients are not accepted.
What session formats are available?
Confirm current session formats before booking, as the biography does not list specific formats.
How are fees handled?
Cost varies by location and sessions use a subscription that can be canceled at any time.
How do I begin if I want to work with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.