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Mary Koch, LMHC

Warm LMHC supporting trauma and mood concerns
  • Trauma and mood support
  • CBT and ACT approaches
  • LGBTQ support

About Mary Koch

Mary Koch is a warm, inviting licensed mental health counselor (LMHC) who creates a calm, approachable environment for people seeking support. She often uses visual aids for video sessions and may offer small tactile items during meetings, pairing those practical touches with a conversational, client-centered style. She works with a range of therapeutic methods, including REBT, cognitive behavioral therapy (CBT), and acceptance and commitment therapy (ACT), and integrates trauma-focused and attachment-based ideas when appropriate.

Mary emphasizes a non-judgmental stance, helping clients notice and reframe thoughts so they can hear their own strengths and insights. She encourages recognition of small positives and supports clients in claiming credit for their progress. Her approach aims to hold space for a full range of emotions - anger, sadness, relief, joy - while guiding clients to identify what matters most in their lives.

Her clinical background includes outpatient work with individuals facing dual diagnosis in substance and alcohol treatment, school-based services for clients from elementary age through college, and counseling in correctional settings. She has experience supporting people with depression, personality disorders, trauma, grief, anxiety, and those exploring sexual identity or gender questions. Mary brings about eight years of experience to her practice and applies a variety of evidence-based and relational approaches to meet each person where they are.

Mary holds the LMHC credential - Licensed Mental Health Counselor - and maintains professional licensure in multiple jurisdictions. She has communicated set virtual office hours during which she checks messages, although these hours may change. Mary is not accepting new clients at this time.

Areas of Expertise

Additional Focus Areas

AbandonmentAttachment issuesAvoidant personalityBlended family issuesBody imageCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPost-traumatic stressPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSexualitySocial anxiety and phobiaSomatizationTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Therapeutic Approach

Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Emotionally-Focused Therapy (EFT) Mindfulness Therapy Motivational Interviewing Psychodynamic Therapy Solution-Focused Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Mary Koch have?

Mary Koch has 8 years of experience.

Is Mary Koch a licensed therapist?

Yes, holds these credentials: LMHC. License details: FL LMHC MH21935, IA LMHC 088801.

In which languages does Mary Koch provide therapy?

English.

Where is Mary Koch located?

Iowa.

How can I work with Mary Koch as my therapist?

You can work with Mary Koch through video calls, phone sessions, live chat, or text-based messaging.

Does Mary Koch work with international clients?

Mary Koch does not currently work with international clients.

How much does therapy with Mary Koch cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, just click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Just click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Could Remote Therapy Fit Into Your Life?

Many people wonder whether online therapy can truly help. For common concerns such as stress, anxiety, depression, relationship difficulties, or navigating life transitions, online therapy has been shown to be just as effective as traditional in-person sessions for many people.

One of the clear benefits is flexibility - clients can connect in the way that works best for them, whether by video call, phone session, live chat, or text-based messaging. That range of options makes it easier to fit regular support into busy schedules and varied lifestyles.

Licensed professionals and therapists offer these remote formats, and individuals can change therapists if they decide a different fit would be more helpful. Online therapy can be a practical way to access consistent therapeutic support while keeping the process adaptable to personal needs.

Ready to start therapy with Mary Koch?

Take the first step toward a better you.