- Warm conversational style
- Focus on thought shifts
- Support for trauma and loss
About Mary
Mary Koch is a Licensed Mental Health Counselor (LMHC) with eight years of clinical experience. She creates a warm, nonjudgmental space where people can talk through painful feelings and confusing situations. Her approach is conversational and direct, helping clients notice patterns and reframe thoughts in simple, practical ways.
In sessions she listens closely and reflects what she hears so clients can see their own thinking more clearly. She often uses techniques from cognitive behavioral approaches and acceptance-focused methods to help people shift unhelpful thoughts. She encourages clients to notice small positives and to build on them over time.
Mary has worked in outpatient settings supporting people with substance use and co-occurring concerns. She also has experience in schools and correctional facilities, and has supported clients facing trauma, grief, depression, anxiety, personality-related challenges, and questions about sexual identity. That range informs a flexible, down-to-earth style.
She emphasizes that the work comes from the client, and she stays alongside them without judgment. Sessions aim to make difficult emotions easier to name and manage, and to help people take concrete next steps in everyday life.
Scheduling is handled through the site. Prospective clients complete a short matching questionnaire and then arrange sessions based on Mary’s posted hours and availability.
How these approaches translate to online work
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts without getting stuck and identify values-based actions to move forward. It is useful for anxiety, mood struggles, and coping with life changes. Attachment-Based Therapy focuses on patterns in relationships and how early connections shape feelings and reactions, which can help with abandonment, attachment issues, and codependency concerns. Cognitive Behavioral Therapy (CBT) looks at links between thoughts, feelings, and behavior, and it offers concrete strategies to reduce unhelpful thinking and change routines that maintain distress.Finding the right approach is part of the work. Mary will collaborate with each person to decide which methods fit their goals and preferences. That means trying ideas in session, checking in about what helps, and adjusting the plan as needed so it feels useful and manageable.
Session formats are not specified in the biography, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy week, shorten check-ins when time is tight, or allow conversations without traveling. Licensed professionals use these approaches to help people practice new skills between meetings and apply them to everyday situations.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
8+ years
Credentials
Iowa, Florida
Languages
English
Frequently asked questions
What kinds of problems does Mary commonly help with?
She helps people with stress, anxiety, depression, sleep problems, addictions, grief, anger, and coping with life changes among other concerns.
How would you describe her therapeutic style?
Her style is warm and conversational. She listens, reflects what she hears, and helps clients reframe thoughts in straightforward ways.
What is her professional background?
Mary has eight years of experience working in outpatient substance use settings, schools, and correctional facilities, with a focus on dual-diagnosis and trauma-related issues.
What credentials and location are listed?
She is a Licensed Mental Health Counselor (LMHC) with licenses in Florida and Iowa and practices from Iowa.
Which languages are supported for sessions?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How does billing and cost work?
Cost varies by 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 then schedule sessions according to the therapist's availability.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.