Mary Geiger
Practical, collaborative therapy grounded in CBT
LCPC, LMFT Montana
- Experience
- 14 years in practice
- Focus areas
- Stress, Anxiety, Addictions, Trauma and abuse
- Approaches
- Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
- Languages
- English
About Mary
Mary Geiger draws on cognitive behavioral therapy alongside complementary approaches to help people manage mood, stress, substance use, and trauma.
Background and approach
As a licensed counselor and marriage and family therapist practicing in Montana, she blends practical skills training with collaborative planning to address concerns such as anxiety, depression, addictions, bipolar disorder, sleep and eating difficulties, and parenting challenges. Her therapy often pairs evidence-informed strategies with a focus on what a client wants to change in daily life.
With 14 years of clinical work, Mary balances independent practice with roles in correctional treatment settings where she provides substance abuse and mental health interventions for individuals with felony DUI convictions. She works with adults, adolescents, children, families, and couples, and tailors interventions to fit each client’s needs.
Her practice also includes trauma-focused care and EMDR for clients who are appropriate candidates after assessment. Mary describes her style as empathetic and client-centered; she begins by learning about each person and then co-creates a treatment plan using techniques drawn from CBT, acceptance and commitment therapy, dialectical behavior therapy, motivational interviewing, and solution-focused work.
Outside the office she enjoys travel, hiking in Montana, and time with her grandchildren.
Integrating CBT and Acceptance-Based Skills into Online Care
Mary frequently uses cognitive behavioral therapy to help clients identify and shift unhelpful thoughts and behaviors; CBT offers concrete exercises and skill-building that are useful for anxiety, depression, sleep problems, and mood regulation. She also draws on acceptance and commitment therapy to help people clarify values and build psychological flexibility, an approach that supports coping with life changes and persistent distress. Dialectical behavior therapy skills are used when emotion regulation, distress tolerance, and interpersonal effectiveness are priorities.Choosing the right approach is part of the therapeutic process, and Mary works collaboratively with each client to determine which methods fit their goals and preferences. Together they evaluate what techniques feel useful and adjust the plan over time to match progress and changing needs.
Online therapy with Mary is offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and communication styles. These options make it easier to access consistent care from Montana and support steady work on practical skills, habit change, and emotional processing without requiring in-person visits.
Frequently asked questions
What issues does Mary commonly address in therapy
What therapeutic style can I expect in sessions
How many years has she been practicing
Where is Mary licensed and based
Does she offer services in other languages or to international clients
What session formats are available for therapy
How are therapy costs handled
What are the first steps to begin working together
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
14+ years
Licensed
Montana, Montana
Languages
English