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Mary Koch

Mary Koch

LMHC

Compassionate counselor who listens first

Continue with Mary Review online therapy options and next steps on BetterHelp.
  • Warm listening style
  • Trauma-informed approach
  • Practical reframing

About Mary

Mary Koch is a licensed mental health counselor (LMHC) with eight years of practice. She greets clients in a warm, nonjudgmental way and focuses on listening first. Mary aims to make the first step feel manageable for someone who is worried or exhausted.

She uses familiar techniques from cognitive behavioral approaches and acceptance-based work to help people reframe thoughts and notice small positives. Sessions tend to be conversational rather than formal, with Mary reflecting observations so clients can hear their own thinking more clearly. She emphasizes a judge-free space where a person can be mad, sad, or relieved without pressure.

Mary has experience supporting people through depression, trauma, grief, anxiety, and personality-related concerns. Her background includes outpatient dual-diagnosis treatment at a substance and alcohol facility and work in educational settings from elementary to college. She has also provided services in correctional settings and with people exploring sexual identity and gender questions.

Her approach combines Trauma-Focused Therapy principles with acceptance and cognitive techniques to address stress, sleep problems, self-esteem, and addiction-related concerns. Mary pays attention to attachment and relationship patterns that shape how people cope.

Practical details are handled plainly: she monitors messages during weekdays and posts regular virtual hours. To begin, prospective clients complete a short matching questionnaire and schedule according to availability. Sessions use a subscription model that can be canceled at any time.

How therapy approaches translate to online care

Trauma-Focused Therapy focuses on helping people process distressing memories and reactions in manageable steps. It aims to reduce the hold traumatic events have on daily life while teaching ways to cope with strong emotions.

Acceptance and Commitment Therapy (ACT) teaches people to notice painful thoughts and feelings without getting stuck in them. It emphasizes identifying personal values and taking small, values-driven steps even when uncomfortable feelings arise.

Attachment-Based Therapy looks at how early relationships shape expectations and patterns in current connections. Working through attachment themes can change how someone relates to others and handles stress.

Finding the right approach is collaborative. Mary will discuss goals, symptoms, and preferences to choose methods that fit each person's needs. She often blends techniques so sessions match what is most useful in the moment.

Confirm current session formats before booking, as specific online options are not listed here. Online work can make scheduling easier and help therapy fit into a busy week. It also allows shorter check-ins when time is limited and avoids the need to travel to appointments. Licensed professionals can adapt exercises, grounding tools, and reframing work to an online setting to keep progress moving forward.

These summaries are based on the profile information listed on BetterHelp. Listing trauma-focused therapy does not mean a therapist holds a specific certification such as TF-CBT, EMDR or CPT.

Areas of expertise

Also works with

AddictionsLGBTGriefAnger managementBipolar disorderCoping with life changes

Additional focus areas

AbandonmentAttachment issuesAvoidant personalityBlended family issuesBody imageCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPost-traumatic stressPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexualitySocial anxiety and phobiaSomatizationTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

8+ years

Credentials

Iowa, Florida

Languages

English

Licenses listed

  • LMHC, Iowa088801
  • LMHC, FloridaMH21935
  • NPI1336651363

As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.

Frequently asked questions

What kinds of concerns does Mary address?

Mary works with stress, anxiety, trauma and abuse, depression, grief, addictions, bipolar concerns, sleeping problems, self-esteem, anger, and issues related to sexual identity and LGBT concerns.

How would you describe her therapy style?

Her sessions are conversational and nonjudgmental. She reflects back observations and helps clients reframe thoughts using acceptance and cognitive-based ideas.

What is her professional background?

Mary has eight years of experience, including outpatient dual-diagnosis work at a substance and alcohol facility, school-based roles from elementary to college, and work in jail and prison settings.

What credentials and location apply?

She holds a Licensed Mental Health Counselor credential (LMHC) and lists licensure in Florida and Iowa. Her practice is based in Iowa.

Which languages are supported?

Sessions are offered in English.

Can international clients work together?

Mary does not accept international clients at this time.

How does cost and billing work?

Session cost varies with location and therapist availability. Therapy uses a subscription model that can be canceled at any time.

What steps start the process?

Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's posted availability.

Therapists on BetterHelp do not prescribe medication; a doctor can talk with you about medical options. This directory is not a crisis service. If you are in immediate danger, call 911. If you are thinking about suicide, call or text 988.

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