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Mary (Peggy) Keating

Mary (Peggy) Keating, LISW

Therapist · Ohio · 40+ years of experience

Direct and compassionate guidance for midlife change

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  • 40 years experience
  • Practical steps
  • English sessions

About Mary

Mary (Peggy) Keating is an Ohio-based therapist with 40 years of clinical experience. She uses a direct but compassionate style to help people untangle what gets in the way of living well. Peggy addresses identity and LGBTQI concerns, mood and anxiety, grief, addictions, and life changes common in midlife.

Her approach balances warmth with clarity. She listens closely and offers straightforward feedback when clients need a push to move forward. Sessions focus on practical steps to reduce distress and restore daily functioning.

Peggy draws on several methods to meet different needs. She uses Cognitive Behavioral Therapy to identify and change unhelpful thinking and behavior patterns. She also integrates Mindfulness Therapy to help people notice and manage difficult feelings in the moment.

For trauma and lingering painful memories she may use Eye Movement Desensitization and Reprocessing. Motivational Interviewing is part of her work with addiction and ambivalence. She also brings psychodynamic ideas to understand long-standing patterns and relationships.

People come to her for many concerns, including relationship struggles, parenting strain, sleep and eating problems, career stress, caregiving burdens, chronic illness, and intimacy-related issues. She aims to help each person set clear goals and take manageable steps toward them.

Mary holds an LISW, which stands for Licensed Independent Social Worker. Sessions are conducted in English and are offered in Ohio. To start, prospective clients complete a short matching questionnaire and then schedule according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsLGBTRelationship issuesDepression

Also works with

Family conflictsTrauma and abuseGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

Aging and geriatric issuesBDSM, kink, and alternative sex cultureBlended family issuesCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesDependent personalityDivorce and separationDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsFatherhood issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHospice and end-of-life counselingImmigration issuesInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisMoney and financial issuesMood disordersParanoiaPersonality disordersPolyamory / non-monogamous relationshipsPost-traumatic stressSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexualitySmoking / vaping cessationSocial anxiety and phobiaTraumatic brain injuryVisually impairedWomen's issuesWorkplace issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Eye Movement Desensitization and Reprocessing (EMDR)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

40+ years

Credentials

Ohio

Languages

English

How her approaches translate to online work

Mary commonly uses Cognitive Behavioral Therapy and EMDR in her work. CBT focuses on spotting thoughts and behavior patterns that feed anxiety or depression and then practicing new ways of thinking and acting. EMDR is a method used to reduce the intensity of traumatic memories by pairing focused attention with guided processing.

She also uses Mindfulness Therapy to help people notice their emotions and bodily responses without getting overwhelmed. Mindfulness practices can make daily stress easier to manage and improve sleep, eating, and emotional regulation.

Finding the right approach is part of the therapy process. She will collaborate with each person to choose methods that match their goals, needs, and preferences. That choice may shift over time as progress is made and new priorities emerge.

Practical benefits of online therapy include fitting sessions into a busy week and reducing travel time. Because session formats are not specified here, please confirm current options before booking. Many people find remote work helps them maintain continuity of care during life transitions and makes it simpler to schedule follow-ups or shorter check-ins when needed.

Frequently asked questions

What concerns does Mary address?

She helps with stress, anxiety, depression, addictions, grief, trauma, relationship and intimacy issues, and many midlife concerns including career and caregiving stress.

How would you describe her therapeutic style?

Her style is warm and supportive but also direct when needed, combining listening with practical feedback to help people get unstuck.

What background and experience does she bring?

She has 40 years of clinical experience and a long history working with mood, identity, trauma, and life transitions.

What credential does she hold and where is she based?

She holds an LISW, which means Licensed Independent Social Worker, and practices in Ohio.

Which languages are supported for sessions?

Sessions are offered in English.

Can international clients work with her?

She does not accept international clients at this time.

How are session fees handled?

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

What are the steps to begin working with her?

Select the Start Therapy button, complete a short matching questionnaire, and then schedule based on therapist availability.

Mary (Peggy) Keating Online therapy options on BetterHelp

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