Mary Koch , LMHC

Mary Koch, LMHC (Licensed Mental Health Counselor), offers a warm and inviting presence for people taking a first step toward support. She cultivates a comfortable virtual environment - on video calls she arranges small items to explore and encourages an easy, conversational pace so clients can focus on their thoughts and feelings.

Mary uses a blend of therapeutic techniques, including REBT, CBT, and ACT, among others. Some clients have said things like "we are just talking" or "wow you are really good at this," and Mary explains that much of her work involves gently reframing what a client has already shared so they can hear their own perspective in a new, nonjudgmental way. That process is offered with clear respect for the client as the source of insight and change.

She emphasizes noticing small positives and supports clients in recognizing strengths even when they feel overwhelmed. Mary maintains a judge-free space where clients are welcome to be angry, sad, joyful, or anything in between, and she partners with them so the work feels collaborative rather than directive.

Mary has experience across a range of concerns, including depression, personality disorders, trauma, grief, anxiety, substance misuse with dual-diagnosis, and questions of sexual identity and gender. Her background includes outpatient work with dual-diagnosis clients at a substance and alcohol treatment facility, school-based services for children and college students, and counseling with individuals in correctional settings. She values helping people notice what matters most in their lives and supporting practical steps toward greater balance.

She maintains regular virtual office hours and invites questions about scheduling or special accommodations. Mary checks messages throughout typical workdays and aims to respond as soon as possible, while weekend replies may take a bit longer.

Therapeutic approaches and online care with Mary Koch

Mary Koch commonly draws from Acceptance and Commitment Therapy (ACT) and Attachment-Based Therapy to guide online work. ACT focuses on helping clients notice difficult thoughts and feelings without getting stuck in them while clarifying personal values and actions that support a meaningful life - it can be useful for anxiety, stress, and depression. Attachment-Based Therapy explores patterns in relationships that develop from early life and helps clients build more secure connections and healthier ways of relating - it can be helpful for attachment concerns, abandonment issues, and relationship struggles.

Finding the right approach is part of the therapeutic process and Mary approaches that choice collaboratively. She will work with each person to identify which strategies fit their needs, goals, and preferences and may integrate methods over time so the plan evolves with progress and feedback.

Online therapy with Mary is offered by video calls, phone sessions, live chat, or text-based messaging, allowing flexibility to fit different schedules and comfort levels. These options make ongoing support more accessible for people who juggle work, family, or other commitments, and they allow therapy to continue without requiring travel to an office.