Mary Koch, LMHC

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, pause, and try small shifts that add up. Her manner is inviting and calm, and she often uses simple reframing to help clients hear their own thoughts differently.

Mary focuses on common struggles such as stress, anxiety, depression, grief, sleep problems, and addictions. She also supports people coping with identity questions, trauma and abuse, anger, bipolar mood concerns, and major life changes. Those with relationship struggles, attachment wounds, or issues like codependency and communication problems may also find her approach useful.

Her counseling draws on Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), and Attachment-Based Therapy, along with client-centered and emotionally focused approaches. In sessions she helps people notice patterns, try practical changes, and build clearer ways to manage strong feelings. She emphasizes small, doable steps that fit daily life.

Mary has worked in diverse settings including outpatient dual-diagnosis treatment, schools, and correctional facilities. That range informs a flexible approach for different life situations and stressors. She speaks English and practices from Iowa as an LMHC in Florida and Iowa.

To begin, people use the Start Therapy button and complete a short matching questionnaire. Scheduling is then done based on therapist availability and the subscription model that can be canceled at any time.

How therapy approaches translate to online sessions

Mary commonly draws on Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, and Attachment-Based Therapy in short, practical ways. Cognitive Behavioral Therapy helps identify unhelpful thought and behavior patterns and then test small changes to see what works. Acceptance and Commitment Therapy focuses on noticing difficult thoughts and feelings while choosing actions that match personal values. Attachment-Based Therapy looks at patterns from early relationships so people can build clearer ways of connecting and managing strong emotions.

Finding the right approach is part of the work. Mary collaborates with each person to pick methods that match their goals, needs, and preferences. She listens to what matters most and adjusts techniques over time so the process feels relevant and manageable.

Online therapy offers several practical benefits for this kind of work. Video calls allow face-to-face interaction for skill teaching and emotional processing. Phone sessions can be a good option when bandwidth is limited or for shorter check-ins. Live chat and text-based messaging make it easier to fit support into a busy day or to send quick updates between sessions. These options give flexibility so therapy can fit into real life routines.