Mary Koch, LMHC

Mary Koch is a licensed mental health counselor (LMHC) with eight years of experience who brings a warm, inviting presence to online sessions. She creates a relaxed environment - for video appointments she often offers a few items to help clients orient themselves, and she encourages open conversation so people can simply speak and be heard. Mary integrates a range of evidence-informed techniques, including REBT, CBT, and Acceptance and Commitment Therapy (ACT), and she often uses reframing to help clients recognize their own insights rather than relying on the therapist to supply answers.

Her approach emphasizes a nonjudgmental, client-centered space where emotions of anger, sadness, or relief are allowed and validated. Mary encourages clients to notice small positives and to claim the progress that comes from their own work. She has experience supporting people with depression, anxiety, trauma, personality disorders, grief, and dual-diagnosis concerns, and she has provided outpatient services at a substance and alcohol facility. Her background also includes work in schools serving children ages five through college and clinical experience with inmates in jail and prison settings.

Mary has worked with individuals exploring sexual identity and gender questioning and addresses a wide range of issues including stress, addiction, sleep difficulties, self-esteem, relationship and attachment concerns, and life transitions. She maintains regular virtual office hours - Mondays 3 pm to 6 pm, Tuesdays 3 pm to 6 pm, Wednesdays 7 am to 3 pm, and Thursdays 7 am to 3 pm - though those hours may change and special accommodations can be requested. Mary checks messages throughout the day and aims to respond as soon as possible, with slightly longer response times on weekends.

Therapeutic Approaches for Online Healing

Mary Koch draws on approaches that support practical change and emotional connection. Acceptance and Commitment Therapy (ACT) helps clients notice difficult thoughts and feelings without getting stuck, and it focuses on clarifying personal values to guide meaningful action. Cognitive Behavioral Therapy (CBT) teaches straightforward skills for identifying and shifting unhelpful thinking and behavior patterns, which can be useful for anxiety, depression, and sleep problems. Attachment-Based Therapy explores how early relationship patterns influence current connections and self-view, and it can help with abandonment issues, attachment concerns, and relationship conflicts.

Choosing the right approach is part of the therapeutic process. Mary works collaboratively with each person to determine which methods fit their needs, goals, and preferences and may blend techniques over time as the work evolves.

Online therapy offers flexible ways to engage - video calls, phone sessions, live chat, or text-based messaging let clients connect from home, work, or while traveling. These options make scheduling easier, allow for consistent support during life transitions, and help people maintain momentum between sessions while working with licensed professionals and therapists who tailor treatment to individual circumstances.