Mary Geiger , LCPC, LMFT

Mary Geiger is a licensed counselor based in Montana who brings a broad clinical background to work with adults, adolescents, children, and families. She maintains a private practice while also serving as a clinical director in a Department of Corrections setting, where she provides substance abuse and mental health treatment for individuals with felony DUIs. Her clinical focus includes depression, anxiety, substance use and addictions, trauma in children, and a range of relationship and mood-related concerns.

Mary holds LCPC and LMFT credentials - LCPC is a Licensed Clinical Professional Counselor and LMFT is a Licensed Marriage and Family Therapist - reflecting training in both individual and family systems approaches. She draws on cognitive-behavioral methods, person-centered principles, family systems perspectives, and mindfulness techniques to build collaborative treatment plans. Mary uses an eclectic set of strategies tailored to each person's needs and offers EMDR (Eye Movement Desensitization and Reprocessing) when appropriate after clinical evaluation.

In practice she emphasizes an empathetic, client-centered style, beginning by learning what will work best for each person and then developing a targeted plan. Living and working in rural Montana, she enjoys helping a diverse range of clients navigate life changes, grief, parenting challenges, and concerns such as stress, anger, and intimacy-related issues.

Outside of her professional life Mary values family time and travel - she is a grandmother and spends free time planning trips, hiking, and exploring the outdoors.

Therapeutic approaches and online care tailored to your needs

Mary commonly integrates Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) into her work. CBT focuses on identifying and changing unhelpful thought and behavior patterns to reduce symptoms of anxiety, depression, and stress. ACT emphasizes acceptance of difficult feelings while clarifying personal values and taking actions that align with those values, which can be helpful for coping with chronic worry, avoidance, or life transitions. She also uses elements of Dialectical Behavior Therapy (DBT) to teach practical skills for emotion regulation, distress tolerance, and improved communication when intense emotions or relationship conflicts are present.

Finding the right approach is part of the therapeutic process. Mary works collaboratively with clients to determine which methods fit their goals, preferences, and life circumstances, and she adapts the plan as progress is made.

Online therapy through video calls, phone sessions, live chat, or text-based messaging offers flexibility for scheduling and access from different locations. These options make it easier to maintain continuity of care around work, family, and travel, and allow licensed professionals to provide consistent support while tailoring session formats to each person’s needs.