Key details
- CredentialsLMHC
- LicenseLMHC, Iowa / 088801; LMHC, Florida / MH21935
- NPI1336651363
- Experience8 years
- LanguagesEnglish
- LocationIowa
About
- ACT and CBT approaches
- Attachment-focused work
- Practical coping skills
About Mary
Mary Koch is a Licensed Mental Health Counselor (LMHC) practicing in Iowa with eight years of clinical experience. She works with adults facing stress, anxiety, depression, grief, addiction concerns, and anger. Sessions also address trauma and abuse, sleep problems, self-esteem, bipolar mood concerns, and coping with life changes.
Mary uses straightforward talk therapy combined with practical tools. She draws on approaches such as Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Attachment-Based Therapy, Client-Centered Therapy, and Emotionally-Focused Therapy to guide conversations. In sessions she helps people reframe thoughts and notice small positives they might be missing.
Her background includes outpatient work with people experiencing co-occurring substance use and mental health concerns. She has also provided school-based services from elementary through college levels and worked in correctional settings. That range informs how she tailors strategies to everyday stressors and crisis moments.
Mary offers an unhurried, nonjudgmental style and focuses on what the client brings to the session. She encourages practical steps people can try between meetings and supports tracking how those steps affect mood and behavior. She also talks through relationship and attachment issues that often underlie anger and control problems.
To begin, readers are asked to use the site matching process and schedule a first session. Mary notes that scheduling can vary and invites people to ask about specific session times and accommodations.
How sessions work
How her approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match their values. It is often useful for persistent anger, anxiety, and decisions about behavior. Cognitive Behavioral Therapy (CBT) focuses on identifying thought patterns that drive emotional reactions and testing different responses in daily life. It is a practical option for stress, sleep problems, and mood shifts. Attachment-Based Therapy looks at patterns from past relationships that shape current responses to conflict and trust, which can be helpful when anger ties back to abandonment or control issues.Finding the right approach is part of the work. Mary will collaborate with each person to decide which methods to try first, based on goals, history, and what feels manageable. That process often includes trying a strategy for a few weeks and then reviewing its impact together.
The profile notes virtual office hours but does not specify exact session formats here, so confirm current options before booking. Online work can make it easier to fit therapy into a weekday break, avoid commuting, or use shorter check-ins when schedules are tight. It also allows continuity when life changes make in-person visits difficult. Licensed professionals can adapt ACT, CBT, and attachment-focused techniques to remote sessions so practical tools and skill practice carry over into daily routines.
Areas of focus
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
8+ years
Listed in
Iowa, Florida
Languages
English
Questions
Frequently asked questions
What kinds of anger and related concerns are addressed?
Mary works with adults on anger, stress, anxiety, depression, grief, addictions, and coping with life changes. She also helps with attachment and relationship-related issues that feed anger and resentment.
How would she describe her approach in sessions?
She uses talk therapy combined with techniques from ACT, CBT, and attachment-informed methods. The focus is on reframing thoughts and trying practical steps between sessions.
What is her clinical background and experience?
Mary has eight years of experience, including outpatient dual-diagnosis work at a substance and alcohol facility, school-based counseling, and work in prison and jail settings.
What are her credentials and where is she based?
She is a Licensed Mental Health Counselor (LMHC) with licensure noted as FL LMHC and IA LMHC, and she practices from Iowa.
Can sessions be held in languages other than English?
Sessions are offered in English.
Which session formats does she offer?
The original biography describes virtual office hours but does not list specific session formats on this profile. Please confirm current session options before booking.
How are fees handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I get started if I want to meet with her?
Use the site button for online therapy options, complete the short matching questionnaire, and schedule a first session through the booking flow.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If anyone is unsafe, use the crisis numbers.