- Stress and anxiety
- Trauma and grief
- ACT and CBT methods
About Mary
Mary Koch is a Licensed Mental Health Counselor (LMHC) practicing in Iowa with eight years of clinical experience. She works with adults facing stress, anxiety, depression, grief, trauma and abuse, addictions, sleep problems, low self-esteem, anger, bipolar concerns, and life changes. Mary also lists support for LGBT questions and a wide range of attachment and relationship-related issues.
Her approach is conversational and practical. Sessions often feel like talking through problems while she offers reframes that help clients hear their own thinking differently. She mentions using methods such as Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and client-centered work among other approaches.
Mary has experience across settings. Her work has included outpatient substance and alcohol services for people with dual diagnoses, school-based work with children through college age, and counseling in correctional settings. She has worked with people affected by trauma, personality concerns, grief, and those exploring sexual identity and gender questions.
In sessions she may help people notice small positives and reframe patterns that get in the way. She aims to listen without judgment and to give credit to the client for insights that emerge during conversation. Practical tools and talking points commonly appear in her meetings.
To begin, the site asks prospective clients to use the See online therapy options button, complete a short matching questionnaire, and schedule a first session. Cost varies by location and sessions operate on a subscription that can be canceled at any time.
Therapeutic approaches and how online sessions work
Mary commonly uses Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) in her work. ACT focuses on clarifying what matters to a person and taking committed steps toward those values while learning to notice difficult thoughts without getting stuck on them. CBT looks at the links between thoughts, feelings, and actions and offers concrete techniques to shift unhelpful patterns and reduce symptoms like anxiety or low mood.She also draws on client-centered principles, which prioritize listening and reflecting what a person shares so they can find their own answers. Deciding which approach to use is collaborative; she will help clients choose methods that match their needs, goals, and preferences and can adjust the plan as therapy progresses.
The original biography does not list specific session formats, so confirm current session options before booking. Online work can make it easier to fit appointments into a busy week, reduce travel time, and allow shorter check-ins when that better suits the schedule. It can also make video or audio sessions possible when in-person meetings are difficult. Ask about session length, scheduling, and any accommodations during the sign-up process so sessions fit into everyday life.
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 kinds of concerns does she work with?
She works with stress, anxiety, depression, trauma and abuse, addictions, sleep problems, low self-esteem, grief, anger, bipolar concerns, and coping with life changes.
How would she describe her therapeutic style?
Her style is conversational and reframing-focused; she listens and reflects back thoughts so clients can hear them differently and consider new perspectives.
What is her clinical background?
She has eight years of experience and has worked in outpatient substance and alcohol services, schools, and correctional settings with a range of mental health concerns.
What are her credentials and where is she located?
She is an LMHC licensed in Florida and Iowa and practices from Iowa.
Which languages does she use in sessions?
Sessions are offered in English.
Does she work with international clients?
International clients are not currently accepted.
How much do sessions cost and how are they billed?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I get started if I want to try sessions?
Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session through the booking flow.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.