- Stress and anxiety
- Trauma and grief
- CBT and ACT
About Mary
Mary Koch is a Licensed Mental Health Counselor (LMHC) with eight years of clinical experience. She works with adults around stress, anxiety, depression, trauma and abuse, sleep problems, addictions, self-esteem, grief, anger, bipolar challenges and LGBT concerns. She also helps people coping with life changes and relationship struggles.
Mary takes a conversational, down-to-earth approach. Sessions are straightforward talk with practical reframing and reflection. She uses evidence-based ideas from Cognitive Behavioral Therapy and Acceptance and Commitment Therapy, among other approaches. Clients often notice small shifts in how they view problems and choices.
Her background includes outpatient work with people managing substance use and dual diagnosis. She has experience in schools as well as jail and prison settings. That variety has shaped a flexible way of working with different life circumstances and stressors.
Mary pays attention to attachment and relationship patterns, especially around abandonment, codependency and commitment issues. She helps people notice how past experiences affect current choices and emotions.
Practical skills are part of sessions too. She offers tools for managing sleep, handling anger, reducing avoidance, and coping after loss or disaster. Work in therapy often moves between emotion-focused conversation and concrete behavioral steps.
People looking for help with identity questions, body image, communication problems, or complex co-occurring concerns can expect a responsive therapist who listens, reflects, and helps name next steps. She practices in Iowa and conducts sessions in English.
How her approaches show up online
Mary uses Acceptance and Commitment Therapy (ACT) to help people notice difficult thoughts and feelings without getting stuck by them. ACT focuses on values and small actions that move someone toward a life they care about, which can help with anxiety, avoidance, and decisions early in adulthood.Attachment-Based Therapy is another thread in her work. It looks at how early relationships shape expectations and reactions now. This can be useful for people dealing with abandonment, codependency, communication problems, or struggles with closeness.
Finding the right approach is part of the work. She will collaborate with each person to pick methods that match goals and preferences. That means mixing conversation, emotion-focused work, and practical skills so the plan fits what the client needs.
The original biography does not list specific online session formats, so confirm the current options before booking. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when schedules are tight, and reduce travel time. It also lets people choose when video or audio works best for them depending on bandwidth or how they prefer to meet. Licensed professionals can adapt exercises, homework, and reframing techniques to an online setting so sessions stay focused on progress and everyday coping.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
8+ years
Listed in
Iowa, Florida
Languages
English
Frequently asked questions
What kinds of young adult concerns does she address?
She works with stress, anxiety, depression, trauma and abuse, sleeping problems, self-esteem, addictions, grief, anger and coping with life changes among other issues.
How would you describe her therapy style?
Her style is conversational and practical, blending talk-based reflection with reframing and skill building from approaches like CBT and ACT.
What is her professional background?
She has eight years of experience including outpatient substance use work with dual-diagnosis clients, school-based services, and work in jail and prison settings.
What credentials and location are listed?
She is an LMHC licensed in Florida and Iowa and practices from Iowa.
Does she work in languages other than English?
Sessions are offered in English.
What session formats are available?
The original biography does not list specific session formats. Please confirm current session options before booking.
How is payment handled?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I start working with her?
Choose the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.