- Anxiety and stress
- Attachment issues
- CBT and ACT methods
About Mary
Mary Koch is a Licensed Mental Health Counselor (LMHC) with eight years of clinical experience based in Iowa. She works with adults on concerns such as stress, anxiety, depression, addictions, grief, sleeping problems, self-esteem, and issues related to sexual identity. Mary also lists trauma and abuse, bipolar mood concerns, anger, and coping with life changes among her areas of focus.
Mary uses straightforward conversation and evidence-based techniques in sessions. She often rephrases what a person says to help them hear their own thoughts differently. That process can clarify patterns that started in early family relationships and that still show up now.
Her past work includes outpatient substance and alcohol services for people with dual diagnosis, school-based settings from elementary through college, and work in correctional facilities. That variety shapes a practical approach to common problems such as codependency, attachment issues, abandonment worries, communication struggles, and blended family challenges.
In sessions she draws on methods like cognitive behavioral approaches, acceptance and commitment ideas, attachment-based work, emotionally-focused methods, and client-centered listening. She aims to help people notice recurring patterns, test small changes, and build clearer ways of responding to stress and relationship strains.
Mary offers guidance about next steps and administrative details through the platform. To get started she asks people to use the online matching steps and schedule a first session so they can talk about goals and plan further work.
Therapeutic approaches and how online sessions work
Mary often uses Acceptance and Commitment Therapy (ACT) to help people notice unhelpful thoughts and choose small, values-based actions. ACT focuses on what matters to the person and on building flexible ways to respond to stress and difficult feelings.She also uses Attachment-Based Therapy to look at how early relationship patterns influence current behavior. That work helps people recognize recurring roles or expectations learned in childhood and consider different ways of relating now.
Finding the right approach is part of the work together. Mary will discuss options with each person and decide collaboratively which methods suit their needs, goals, and preferences. The choice can shift as progress is made.
Session logistics and exact formats should be confirmed before booking. The profile notes administrative details are handled through the platform and that she provides guidance on next steps there. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time so people can keep therapy alongside everyday responsibilities.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
8+ years
Listed in
Iowa, Florida
Languages
English
Frequently asked questions
What concerns does she address related to family patterns?
She works with stress, anxiety, trauma and abuse, grief, self-esteem, addictions, and related family-of-origin themes such as abandonment and attachment issues.
How would you describe her therapeutic style?
She uses conversational, client-centered listening and reframing to help people hear their own thoughts differently. She combines that with active methods from CBT and ACT when helpful.
What is her professional background and experience?
She has eight years of experience, including outpatient substance and alcohol services for dual diagnosis, school-based work from elementary to college, and time in correctional settings.
What credentials and location are listed?
She is an LMHC licensed in Florida and Iowa and practices from Iowa as documented in her profile.
Which languages are supported for sessions?
Sessions are offered in English.
Does she accept clients outside the country?
She does not accept international clients at this time.
How does payment work and what does it cost?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Use the platform's See online therapy options button, complete the short matching questionnaire, and schedule a first session to discuss goals and next steps.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.