Mary Geiger , LCPC, LMFT

Mary Geiger, LCPC, LMFT, is a Montana-based therapist with 14 years of experience helping people navigate depression, anxiety, trauma, addictions, and relationship challenges. As an LCPC she holds a clinical counseling license that enables her to provide mental health treatment, and as an LMFT she holds a marriage and family therapy license that supports work with couples and families. She combines clinical leadership in a corrections setting with a private practice, offering care to adults, adolescents, children, and families while also providing substance abuse and mental health treatment for individuals with Felony DUI's.

Her clinical work frequently focuses on depression, anxiety, substance use concerns, and trauma in children, and she draws from a range of evidence-informed methods to tailor treatment. Her style is empathetic and client-centered - she begins by learning what will work best for each person and then collaborates on a treatment plan. She uses cognitive-behavioral approaches, family systems thinking, mindfulness skills, and elements from other models to address problems across the lifespan. She is also trained in EMDR and offers it when an evaluation indicates it may be appropriate.

Outside of her clinical roles she enjoys family time and travel. She is a grandmother to three grandchildren with one on the way and spends as much time as possible outdoors hiking and exploring the wide open spaces of rural Montana.

Therapeutic Approaches and Online Care

Mary Geiger commonly uses Cognitive Behavioral Therapy (CBT) to help clients identify and modify unhelpful thought patterns and behaviors, which can be effective for anxiety, depression, and stress-related issues. She also incorporates Acceptance and Commitment Therapy (ACT), which focuses on accepting difficult emotions while clarifying personal values and taking committed action toward meaningful goals. When appropriate, she draws on Dialectical Behavior Therapy (DBT) strategies to teach emotion regulation, distress tolerance, and interpersonal skills for people struggling with intense emotions or relationship difficulties.

Choosing the right approach is part of the therapeutic process. Mary works collaboratively with each person to assess needs, preferences, and goals, adjusting methods over time so that therapy fits the individual rather than forcing a single model.

Online therapy with licensed professionals offers practical flexibility - sessions can occur by video, phone, live chat, or text-based messaging to fit different schedules and comfort levels. These options make regular sessions more accessible for people balancing work, family, or living in rural areas, while still allowing therapists and clients to work closely toward the client’s aims.