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Therapist profile

Mary Koch

LMHC Iowa 8 years of experience

Warm, practical counselor for life changes

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Mary Koch
  • Conversational style
  • Focus on coping
  • Accepting identities

About Mary

Mary Koch is a licensed mental health counselor (LMHC) with eight years of clinical experience. She greets people with warmth and an open manner, offering a calm space to talk and be heard. Her aim is to help people notice new perspectives and small positives in daily life. Mary uses a mix of practical approaches such as cognitive behavioral techniques and acceptance strategies to help people reframe unhelpful thoughts. Sessions are conversational and down-to-earth. She listens, reflects what she hears, and helps people recognize their own insights. Her background includes outpatient work with people facing substance use and co-occurring mental health concerns. Mary has also worked in schools with children through college age and has experience providing counseling in correctional settings. She has supported people exploring sexual identity and gender questions. Common issues she addresses include stress, anxiety, depression, trauma and abuse, sleep troubles, self-esteem, grief, anger, and addictions. Mary also helps people navigate coping with life changes and related concerns like attachment issues, codependency, communication problems, and divorce or separation. In sessions she aims to be nonjudgmental and straightforward. Her style is supportive and practical, with room for emotion and honest conversation. Prospective clients are invited to start by selecting the Start Therapy button and completing a short matching questionnaire to set up a time.

How these approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them. It focuses on values and small actions that move someone toward a life they care about, which is useful for anxiety, depression, and big life transitions. Attachment-Based Therapy looks at how early relationships shape current patterns. It helps people name connection needs and rebuild trust in relationships or in themselves, which can be helpful after separation, trauma, or loss. Finding the right approach is part of the process. Mary works together with clients to decide which methods fit their needs and goals. That means trying techniques, checking what helps, and adjusting the plan based on what a person prefers and what feels useful in real life. The biography does not list specific online session formats, so confirm current options before booking. In general, online work can make it easier to fit sessions into a busy week, cut down travel time, and allow shorter check-ins when a full hour is not needed. Online sessions also make it possible to use interactive exercises, breathe-work, thought-reframing, and values-based planning from wherever someone is able to join. Licensed professionals can adapt ACT and attachment-focused techniques to a virtual setting while keeping the work collaborative and practical.

Areas of expertise

Primary focus

Stress, AnxietyTrauma and abuseSleeping disordersSelf esteemDepression

Also works with

AddictionsLGBTGriefAnger managementBipolar disorderCoping with life changes

Additional focus areas

AbandonmentAttachment issuesAvoidant personalityBlended family issuesBody imageCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPost-traumatic stressPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexualitySocial anxiety and phobiaSomatizationTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

8+ years

Credentials

Iowa, Florida

Languages

English

Frequently asked questions

What concerns does Mary commonly address?

She works with stress, anxiety, depression, trauma and abuse, sleep issues, self-esteem, grief, anger, addictions, bipolar concerns, and coping with life changes.

How would you describe her therapeutic style?

Her approach is warm and conversational. She reflects what you say, helps reframe thoughts, and focuses on practical steps you can use day to day.

What is her professional background?

Mary has eight years of experience including outpatient work with dual-diagnosis clients, school-based counseling from elementary through college, and work in correctional settings.

What credentials and region are listed for this therapist?

She holds the LMHC credential and is licensed as a Florida LMHC and an Iowa LMHC, and she practices from Iowa.

Which languages are supported and can international clients work with her?

Sessions are offered in English. International clients are not currently accepted.

What session formats are offered?

The original biography does not specify session formats. Please confirm current session options before booking.

How are fees and payment handled?

Cost varies with location and therapist availability. Sessions use a subscription that can be canceled at any time.

How do I begin working with Mary?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

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