- Calm reframing
- Goal focused
- Nonjudging space
About Mary
Mary Koch is a Licensed Mental Health Counselor (LMHC) based in Iowa with eight years of clinical experience. She greets clients with a warm, nonjudgmental presence and aims to make first sessions feel like a straightforward conversation. Mary often uses gentle reframing so people can hear their own thoughts in a new way and give themselves credit for progress.
In sessions she keeps things simple and practical. She listens, reflects what she hears, and helps people notice small positives. Mary offers room to express anger, grief, worry, or relief without judgment and emphasizes that the change comes from the client rather than the therapist.
Her work has included outpatient substance and alcohol services for people with dual diagnoses, school-based supports from elementary to college levels, and counseling in correctional settings. She has experience addressing depression, anxiety, trauma and abuse, grief, addictions, bipolar challenges, sleep problems, self-esteem, anger, and stress-related concerns.
Mary uses a mix of approaches to fit each person’s needs, drawing from cognitive behavioral ideas, acceptance and commitment perspectives, attachment-focused thinking, emotionally-focused work, and a client-centered way of relating. She will help people notice patterns, try new behaviors, and practice skills that can ease daily struggles.
Practical details are handled simply: sessions are arranged through the site and scheduled to fit both parties. Mary communicates during weekdays and asks clients to allow reasonable time for message replies. If you want to start, follow the site’s Start Therapy steps to match and schedule time.
How Mary’s approaches translate to online therapy
Mary often uses Acceptance and Commitment Therapy (ACT) and Client-Centered Therapy in her work. ACT focuses on noticing thoughts and choosing actions that match personal values, which can help with anxiety, depression, and coping with change. Client-Centered Therapy emphasizes a warm, nonjudging relationship and active listening so people feel heard and can explore feelings at their own pace.Finding the right approach is a shared process. Mary collaborates with each person to identify what techniques fit their goals and comfort level, and she adjusts methods as needs change. Together they try practical steps, notice what helps, and shift course when something isn’t working.
Session logistics should be confirmed before booking. The therapist’s profile indicates weekday communication and scheduling through the site, but it does not list specific online formats here, so please confirm available session types during scheduling. Online sessions can make it easier to fit counseling into busy days, reduce travel time, and allow shorter check-ins when schedules demand it. Mary aims to help clients build skills that transfer into everyday life, whether that’s handling stress at work, improving sleep habits, or practicing new ways to respond to difficult emotions.
Areas of focus
Frequently asked questions
What kinds of concerns does this therapist help with?
Mary works with people facing stress, anxiety, depression, trauma and abuse, grief, addictions, sleep struggles, self-esteem problems, bipolar challenges, anger, and coping with life changes.
How would you describe her therapeutic style?
She keeps sessions conversational and practical, listening closely, reflecting back observations, and helping clients reframe thoughts to notice small positives and build skills.
What is her background and experience?
Mary has eight years of experience including outpatient dual-diagnosis work at a substance and alcohol facility, school-based counseling from age five through college, and work in jail and prison settings.
What credentials and location are listed?
She is a Licensed Mental Health Counselor (LMHC) with licensure in Florida and Iowa, and she practices from Iowa.
Which languages are supported for sessions?
Sessions are offered in English.
Are international clients accepted?
International clients are not currently accepted.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
What are the first steps to begin therapy?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist's availability.