Profile / United States
Mary Koch, LMHC
Iowa
LMHC - Stress and Anxiety support
See online therapy options- Cognitive Behavioral Therapy
- Acceptance and Commitment Therapy
- Work with trauma
About Mary
Mary Koch is a Licensed Mental Health Counselor (LMHC) with eight years of clinical experience. She works with people facing stress, anxiety, trauma and abuse, sleep problems, self-esteem concerns, depression, addictions, grief, anger, bipolar mood issues, and coping with life changes.
She uses Cognitive Behavioral Therapy (CBT) alongside Acceptance and Commitment Therapy (ACT), attachment-based ideas, client-centered methods, and emotionally-focused techniques. Sessions are conversational and practical. Mary often helps clients notice unhelpful thoughts and try different ways of responding to them.
She has experience in outpatient substance and alcohol treatment for people with dual diagnosis. Mary has also provided services in schools, and she has worked in correctional settings. Those experiences shape how she handles complicated problems and co-occurring concerns.
In sessions she helps people reframe negative thinking and identify small, practical steps toward change. She invites discussion about identity and sexual orientation when people bring those topics up. Her approach is direct and focused on what a person can try between meetings.
Mary offers virtual hours on weekdays and monitors messages during the day. Her practice uses a subscription payment model that can be canceled at any time. To begin, a person completes a short matching questionnaire and then schedules a first session.
How her approaches work in remote sessions
Mary draws on Cognitive Behavioral Therapy to help people identify unhelpful thinking patterns and try concrete alternatives. CBT is organized and skills-focused, often using small practice tasks between sessions to change behavior and mood.She also uses Acceptance and Commitment Therapy to help people notice thoughts and feelings without getting stuck in them, then choose actions that line up with their values. Attachment-based ideas get used when relationships or early attachment patterns affect current stress or connection problems.
Finding the best approach is a collaborative process. Mary discusses goals and preferences with each person and adjusts methods over time. She treats the first few sessions as a time to test what feels most useful and practical.
The biography does not list specific remote formats, so confirm current session options before booking. Online work can make scheduling easier and can fit into weekday routines. It also allows shorter check-ins when needed and avoids travel time, which can help someone maintain regular appointments while juggling other commitments.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
8+ years
Listed in
Iowa, Florida
Languages
English
Frequently asked questions
What concerns does Mary help with most?
She works with stress, anxiety, trauma and abuse, sleep problems, self-esteem, depression, addictions, grief, anger, bipolar issues, and coping with life changes.
How would she describe her therapeutic style?
She uses conversational, practical sessions that focus on noticing thoughts and testing new responses using CBT and related methods.
What background does she bring to sessions?
Mary has eight years of experience including work in outpatient substance and alcohol treatment, schools, and correctional settings.
What are her credentials and where is she based?
She is a Licensed Mental Health Counselor (LMHC) licensed in Florida and Iowa and practices from Iowa.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions paid for?
Sessions use a subscription model that can be canceled at any time and cost varies by location.
What is the first step to start working together?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
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 you are not safe, use the crisis numbers.