Mary Koch , LMHC

Mary Koch welcomes people into a warm, inviting therapeutic environment where small visual items and sensory tools may be offered during video sessions to help focus and soothe. She works in a nonjudgmental manner, helping individuals recognize and reframe their own thoughts so they can hear their experiences from a new perspective. Many clients notice that sessions can feel like a genuine conversation while also opening space for useful reframing and insight.

Mary draws on approaches such as REBT, CBT, and ACT to tailor interventions to each person’s needs, emphasizing collaboration and the client’s role in the change process. She encourages noticing positive moments, however small, and supports people through a wide range of concerns including depression, anxiety, trauma, grief, and challenges with identity and relationships. Her background includes providing outpatient services for people with dual diagnoses at a substance and alcohol treatment facility, working with students from elementary through college settings, and offering support to individuals in correctional settings.

Mary has experience addressing topics related to sexual identity and gender exploration and works with issues such as personality disorders, trauma, and co-occurring conditions. As a Licensed Mental Health Counselor - LMHC - she blends practical strategies with empathic listening and aims to help people feel heard, understood, and able to move forward. She checks messages throughout the day and typically responds as soon as possible, with response times sometimes taking longer on weekends.

Therapeutic Approaches and Online Support

Mary Koch uses several evidence-informed approaches tailored to individual needs. Acceptance and Commitment Therapy (ACT) helps people clarify their values and take meaningful action even when difficult thoughts or feelings are present - it can be useful for anxiety, depression, and life transitions. Attachment-Based Therapy focuses on patterns of relating and emotional bonds formed in early relationships; it helps clients explore how attachment needs affect current relationships and offers ways to build more secure connections. Cognitive Behavioral Therapy (CBT) targets unhelpful thinking patterns and behaviors with practical skills for managing mood, stress, and anxiety.

Finding the right approach is part of the therapeutic process. Mary collaborates with each person to identify which methods best fit their goals, preferences, and circumstances, adapting techniques as progress unfolds so therapy remains responsive and practical.

Offering video calls, phone sessions, live chat, and text-based messaging, online therapy provides flexibility and easier access to care. These options allow clients to engage from home or other convenient locations, schedule sessions around work or family demands, and choose communication styles that feel most comfortable while working with licensed professionals and therapists.