Mary Koch, LMHC

Mary Koch is a licensed mental health counselor (LMHC) with eight years of clinical experience. She greets clients with a warm, nonjudgmental manner and aims to make the first step feel manageable. Mary keeps things simple in sessions so people can talk and be heard.

She uses conversational techniques that help people notice different ways of seeing their situation. That often means reflecting what was said back in a fresh way so clients can hear themselves differently. Mary helps people notice small positives and build on them, while allowing space for anger, grief, or frustration.

Her work has included outpatient care at a substance and alcohol service for people with dual diagnosis. She has also provided services in schools, working with children through college-aged students, and has experience in correctional settings. Mary has supported people dealing with depression, trauma, anxiety, personality concerns, and questions about sexual identity.

In sessions she draws on a mix of approaches such as acceptance and commitment strategies, cognitive behavioral ideas, attachment-focused perspectives, and client-centered listening. The goal is practical change that fits each person’s life, not a one-size-fits-all method. Mary encourages collaboration and pays attention to each person’s pace.

She practices from Iowa and conducts work in English. Her schedule varies across weekdays, and she asks people to check scheduling details when they begin. To start, prospective clients complete a short matching questionnaire and arrange a session based on the available times.

Therapeutic approaches and how they translate online

Mary uses Acceptance and Commitment Therapy (ACT) to help people notice hard thoughts and figure out what matters to them. ACT focuses on values and small actions that move life in a chosen direction and can be helpful for anxiety, depression, and coping with change.

She also draws on Attachment-Based Therapy, which looks at how relationships shape how people feel and behave. That approach helps when past connection patterns affect current stress, trust, or closeness issues.

Finding the right approach is part of working together. Mary discusses options, listens to each person’s goals, and adjusts methods so they fit the person’s needs and preferences. Clients and therapist decide collaboratively which techniques to try and when to change course.

The practical benefits of online therapy include easier fitting of sessions into a busy week and fewer travel demands. Online work can make shorter check-ins and weekday appointments more manageable. The biography did not list specific session formats, so confirm available online options before booking. Mary’s approaches translate well to remote conversations because they rely on dialogue, reflection, and small action steps that people can try between sessions.