Mary Koch , LMHC

Mary Koch is a Licensed Mental Health Counselor (LMHC) who greets new clients with a warm, inviting presence and a practical, down-to-earth approach to therapy. She often offers a relaxed environment during video sessions, including small items to fidget with for those who find tactile tools helpful, and focuses on creating a nonjudgmental space where people can express anger, sadness, joy, or any emotion they bring.

Mary draws on a range of therapeutic techniques, including REBT, CBT, and Acceptance and Commitment Therapy (ACT). She frequently helps clients reframe their thoughts so they can hear their own insights more clearly, and she credits clients for the work they do in session. Many people she works with describe sessions as feeling like an honest conversation rather than a formal exercise, and Mary supports that process by reflecting perspectives back in a compassionate, clarifying way.

Her experience includes supporting people with depression, personality disorders, trauma, grief, and anxiety. Mary has provided outpatient treatment for individuals with dual diagnoses at a substance and alcohol abuse facility, worked in educational settings with children through college-age students, and offered services in correctional environments. She also works with clients exploring sexual identity and gender questioning, and she values helping people notice meaningful changes in their lives.

Mary maintains regular virtual office hours on Mondays 3 pm to 6 pm, Tuesdays 3 pm to 6 pm, Wednesdays 7 am to 3 pm, and Thursdays 7 am to 3 pm, though these times may change. She checks messages throughout the day and asks for patience when responses take longer on weekends. LMHC stands for Licensed Mental Health Counselor, a credential indicating training and licensure to provide mental health services.

Approaches Used Remotely to Support Change

Acceptance and Commitment Therapy (ACT) focuses on helping people clarify their values and take committed action even when difficult thoughts or feelings arise. It can be useful for anxiety, stress, and life transitions by promoting psychological flexibility and purposeful behavior.

Cognitive Behavioral Therapy (CBT) centers on identifying and reshaping unhelpful thoughts and patterns that contribute to mood and behavioral challenges. CBT is commonly applied to depression, anxiety, sleep concerns, and coping with day-to-day stressors by teaching practical skills and strategies.

Attachment-Based Therapy explores patterns in relationships and early bonds to improve current connection, trust, and emotional regulation. It can support work around abandonment, attachment issues, and relationship difficulties.

Finding the right approach is part of the therapeutic process, and Mary will collaborate with each person to determine which methods best fit their needs, goals, and preferences. This collaborative stance helps tailor care so therapy feels relevant and effective for the individual.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit sessions into busy schedules or to receive support from home. Working remotely allows licensed professionals to provide ongoing care with multiple communication options, so clients can choose the format that feels most comfortable and accessible for their circumstances.