Mary Koch

Mary Koch is a Licensed Mental Health Counselor (LMHC) with eight years of clinical experience. She creates an inviting, nonjudgmental space where people can talk about what matters to them. Her manner is warm and straightforward, and she aims to help clients notice their own strengths and perspectives.

Her approach mixes practical tools with listening. She uses methods such as cognitive behavioral techniques and acceptance strategies to help people reframe thoughts and choose actions that match their values. Sessions include gentle reflection, helping clients hear their own thinking in new ways, and small exercises when useful.

Mary has worked in many settings, including outpatient substance and alcohol services for people with dual diagnosis, school-based work with children through college age, and correctional facilities. That background informs her work with depression, anxiety, trauma and abuse, grief, addictions, bipolar concerns, sleep problems, self-esteem, LGBT identity questions, and anger. She also supports people coping with life changes and a wide range of relationship and attachment concerns.

In sessions she offers practical reframing, validation, and hands-on strategies to manage emotions and behavior. She emphasizes that change comes from the client and stays focused on what the person can do day to day. Mary notes small shifts and steps that help build momentum.

To begin, she asks people to use the Start Therapy button and complete a short matching questionnaire. Scheduling is arranged according to her posted availability, and sessions use a subscription that can be canceled at any time.

How therapeutic approaches guide online work

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without being controlled by them. It focuses on choosing actions that match personal values and is useful for anxiety, mood, and living through life changes.

Cognitive Behavioral Therapy (CBT) looks at patterns of thought and behavior and introduces practical experiments to change them. It can help with worry, sleep problems, low mood, and managing strong emotions like anger.

Attachment-Based Therapy brings attention to how early relationships shape current patterns. It is often helpful for attachment issues, abandonment concerns, relationship communication problems, and people wanting clearer emotional connections.

Finding the right approach is a team effort. The therapist will talk with each person about their goals, symptoms, and preferences and suggest methods to try. Clients and therapist then adjust the plan together based on what helps.

Confirm the available session formats before booking, as those details are provided at scheduling. Online therapy can make it easier to fit sessions into a busy week, reduce travel time, and allow shorter or more frequent check-ins when needed. It also lets people use quieter times of day, avoid video when they prefer, or choose options that better fit their routines.