Mary Koch, LMHC

Mary Koch is a Licensed Mental Health Counselor (LMHC) with eight years of clinical experience. She offers a calm, nonjudgmental presence and invites people to speak freely about stress, anxiety, grief, or other struggles. Her aim is to help clients notice what they already know and use that insight to make changes.

Mary keeps sessions relaxed and straightforward. She listens, reflects what she hears, and helps reframe thoughts so clients can see different options. She encourages small steps and pointing out positives, even when progress feels slow.

Her background includes outpatient work with people facing substance use and dual diagnosis concerns, school-based counseling from elementary to college levels, and time providing services in correctional settings. She has helped people dealing with depression, trauma, personality concerns, grief, and questions about sexual identity.

In sessions she draws on approaches such as cognitive behavioral work, acceptance and commitment ideas, attachment-focused perspectives, emotionally focused practices, and client-centered conversation. Those methods are used to address issues like sleeping problems, self-esteem, addictions, anger, and coping with life changes including separation and loss.

Mary practices from Iowa and conducts sessions in English. Her availability varies by schedule and uses a subscription that can be canceled at any time. To begin, people are invited to complete the short matching questionnaire and schedule according to her listed times.

Approaches and how they fit into online care

Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and values, then taking small steps toward a life that matters to the person. It is useful for anxiety, stress, and coping with difficult feelings. Cognitive Behavioral Therapy (CBT) looks at unhelpful thought patterns and habits and teaches practical skills to change them, often helping with depression, sleep problems, and worry. Attachment-Based Therapy pays attention to how early relationships shape current reactions and can help people understand patterns around abandonment, connection, and trust.

Finding the right approach is part of the work together. Mary will listen to what you want to change, your goals, and how you prefer to work. Together you can try methods that fit your needs and adjust as you learn what helps most.

The biography does not list specific online session formats, so confirm current options before booking. Online work can make it easier to fit sessions into a busy week and cut travel time. It can also allow shorter check-ins when schedules demand it, or offer a quieter setting for people who prefer not to commute. Licensed professionals can use the approaches above in virtual sessions to practice skills, try new ways of thinking, and track small changes over time.