Mary Koch
Compassionate, practical care for real-life challenges
LMHC Iowa
- Experience
- 8 years in practice
- Focus areas
- Stress, Anxiety, Trauma and abuse, Sleeping
- Approaches
- Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
- Languages
- English
About Mary
Mary Koch is a licensed mental health counselor with eight years of clinical experience who blends evidence-based methods to help people manage stress, anxiety, depression, trauma, and related concerns.
Background and approach
She draws on Cognitive Behavioral Therapy along with Acceptance and Commitment Therapy and attachment-informed approaches to support clients in identifying unhelpful patterns and developing practical skills for change. Mary emphasizes a nonjudgmental, collaborative stance, inviting clients to explore thoughts and feelings while she reflects and reframes what emerges so clients can see their own progress.
Her work covers a wide range of issues including sleep problems, addiction and dual-diagnosis concerns, grief, anger, bipolar symptoms, self-esteem, and challenges tied to identity and relationship dynamics. Mary also addresses attachment-related struggles, codependency, communication and commitment issues, and the impacts of domestic violence, dissociation, or major life transitions.
She strives to highlight strengths and small positives as part of the healing process, creating a welcoming environment where difficult emotions are acknowledged and worked through alongside practical coping strategies.
Online approaches that combine practical skills and relational focus
Cognitive Behavioral Therapy helps clients identify unhelpful thoughts and behaviors and replace them with more adaptive patterns, often using structured exercises to reduce symptoms like anxiety, depression, and sleep problems. Acceptance and Commitment Therapy emphasizes values-driven action and learning to live with difficult emotions while building flexibility and mindful awareness, which can be useful for stress, trauma reactions, and coping with life changes. Attachment-Based Therapy explores relationship patterns and early relational wounds to improve interpersonal functioning and emotional regulation, supporting work on abandonment, codependency, and communication difficulties.
Choosing the right approach is part of the therapeutic process, and Mary works collaboratively with clients to assess needs, goals, and personal preferences before shaping a plan. She integrates methods rather than relying on a single technique so the care fits the person and the problem rather than the other way around.
Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These options let clients match the format to their schedule and comfort level, making it easier to maintain momentum between appointments and apply new skills in day-to-day life.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
8+ years
Licensed
Iowa, Florida
Languages
English