Mary Koch, LMHC

Mary Koch is a Licensed Mental Health Counselor (LMHC) who brings eight years of clinical experience to her work. She greets clients with a warm, nonjudgmental manner and focuses on practical conversation. Her approach aims to help people notice new perspectives and feel heard.

Mary uses several evidence-based methods to guide sessions while keeping things simple. She often helps people reframe thoughts, identify small positives, and name feelings without shame. Sessions are meant to feel like a collaborative conversation rather than a lecture.

She has worked across settings including outpatient substance and alcohol services supporting people with dual diagnosis, school settings serving ages five through college, and correctional facilities. That variety influences how she responds to stress, anxiety, trauma, grief, and mood concerns in therapy.

Mary supports people navigating issues such as sleep problems, self-esteem, addiction, anger, coping with life changes, and questions around sexual identity. She also addresses attachment and abandonment concerns, body image, communication problems, codependency, and effects of domestic violence.

In session she offers tools from cognitive behavioral and acceptance-focused approaches alongside attachment and emotion-focused ideas. The work emphasizes small, usable steps and moments of insight that clients can try between visits.

To begin, she asks people to use the site process to match and schedule. Mary posts regular virtual office hours and checks messages during weekdays; ask about specific scheduling needs when you reach out.

How therapy approaches translate to online work

Acceptance and Commitment Therapy, often called ACT, helps people notice unhelpful thoughts and choose actions that match their values. It can be useful for anxiety, stress, and making life changes. Cognitive Behavioral Therapy, or CBT, focuses on identifying thought patterns and testing them with practical steps. It often helps with depression, sleep issues, and mood shifts. Attachment-Based Therapy looks at how early relationships shape current patterns and supports learning new ways to connect and regulate emotions.

Finding the right approach is part of the process. The therapist will work with each person to try methods that match their goals and preferences. This is a collaborative effort where the therapist suggests options and adjusts based on what helps most.

Confirm the available session formats before booking, since the biography does not list them. Online work can make it easier to fit therapy into a busy week, shorten travel time, and allow brief check-ins when a full in-person session would be harder to schedule. It also lets people practice skills in real-life settings and bring current examples into the session. Ask about specific scheduling questions and any special accommodations when you start the matching process.