Mary Geiger , LCPC, LMFT

Mary Geiger is a licensed mental health professional in Montana who brings a compassionate, practical approach to counseling. She holds LCPC (Licensed Clinical Professional Counselor) and LMFT (Licensed Marriage and Family Therapist) credentials and has built a practice that serves adults, adolescents, children, and families. In addition to her private practice, she serves as a clinical director in a Department of Corrections setting, providing substance abuse and mental health treatment for individuals with felony DUI charges.

Her clinical focus includes depression, anxiety, substance use and addictions, trauma in children, anger, relationship and family concerns, grief, and a range of mood and behavioral issues. Mary uses an empathetic style that begins with getting to know each person and identifying what approaches will work best for them. She frequently draws on cognitive behavioral therapy, person-centered methods, family systems concepts, and mindfulness, and she adapts techniques collaboratively to develop individualized treatment plans.

Mary is also trained in EMDR (Eye Movement Desensitization and Reprocessing) and offers that modality when it is appropriate following evaluation. Living in rural Montana, she values working with a wide variety of clients and supports people through life transitions, parenting challenges, intimacy concerns, and coping with shame, isolation, or attachment issues. Outside of work she enjoys traveling, planning trips, hiking, and spending time with her grandchildren.

Therapeutic Approaches and Online Care with Mary Geiger

Mary Geiger integrates approaches such as Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT) into her work. ACT focuses on helping people clarify their values and take meaningful action even when difficult thoughts or feelings are present - it can be useful for stress, anxiety, and life transitions. CBT examines the links between thoughts, feelings, and behaviors and teaches practical skills to change unhelpful patterns, which often helps with depression, anxiety, and coping with daily challenges. DBT emphasizes emotion regulation, distress tolerance, and interpersonal effectiveness to support people struggling with intense emotions, relationship conflict, or self-destructive behaviors.

Finding the right therapeutic approach is part of the process. Mary works collaboratively with each person to identify which methods fit their needs, goals, and preferences, adjusting the plan as progress is made. The aim is to tailor care so it feels useful and sustainable for the individual.

Online sessions are offered by video call, phone, live chat, or text-based messaging to provide flexibility and accessibility. These formats allow people to receive consistent support without commuting, to schedule appointments around work or family responsibilities, and to continue therapy during life transitions or when in-person visits are difficult. Licensed professionals can use these options to deliver structured, skills-based work as well as ongoing emotional support.