- Emotionally-Focused Therapy
- ACT and CBT methods
- Attachment-based work
About Mary
Mary Koch is a Licensed Mental Health Counselor (LMHC) practicing in Iowa with eight years of experience. She works with people facing stress, anxiety, depression, trauma and abuse, and issues like sleep problems, self-esteem, and addiction. She also addresses concerns related to grief, anger, bipolar mood patterns, and life changes.
Mary uses a range of talk-based approaches to help clients notice patterns and try new responses. She draws on Emotionally-Focused Therapy (EFT), Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), attachment-based methods, and client-centered care. Sessions focus on what a person says, how they feel, and how those pieces fit together in daily life.
Her background includes outpatient work with people with co-occurring substance use and mental health needs. She has provided services in school settings from early childhood through college age, and has experience working in correctional environments. Mary has supported people exploring sexual identity and gender questioning.
In sessions she often helps people reframe thoughts so they hear different perspectives about themselves. She encourages noticing small positives and emphasizes that progress comes from the client’s own work. Messages are checked during working hours and she aims to respond as soon as possible.
To begin, a prospective client follows the directory’s process to complete a short matching questionnaire and schedule a first session. The subscription used for sessions can be canceled at any time, and cost varies by location. Sessions are offered in English and international clients are not accepted.
Therapeutic approaches and remote sessions
Emotionally-Focused Therapy (EFT) focuses on identifying and naming hard-to-reach emotions and the interaction patterns they create. EFT can be useful when people want to understand recurring emotional responses and the ways those responses affect relationships and moods.Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, and then move toward actions that reflect their values. ACT is often used for anxiety, stress, and coping with life changes.
Attachment-Based Therapy looks at how early bonds influence current ways of relating and feeling. This approach can help people understand patterns like abandonment worries, codependency, or difficulty trusting others.
Finding the right approach is part of the work. The therapist will discuss goals, preferences, and current concerns and together decide which methods to try. That collaborative process can include mixing techniques from EFT, ACT, CBT, and attachment work to suit a person’s needs.
Session formats are not specified in the biography, so confirm current options before booking. Online sessions can help fit therapy into busy days by avoiding travel and making it easier to join from a quieter setting. They can also allow shorter check-ins or flexible scheduling that better match work, school, or caregiving 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 kinds of concerns does she help with?
She works with stress, anxiety, depression, trauma and abuse, sleep problems, self-esteem, addictions, grief, anger, bipolar patterns, and coping with life changes.
What is her therapeutic style?
She uses talk-based approaches that include Emotionally-Focused Therapy, ACT, CBT, client-centered, and attachment-based methods to help people notice patterns and try new responses.
How long has she been practicing?
Mary has eight years of clinical experience working in outpatient settings, schools, and correctional facilities.
What are her credentials and location?
She is an LMHC licensed in Florida and Iowa and practices from Iowa as listed in her profile.
Which languages are supported?
Sessions are offered in English.
Can people from other countries work with her?
International clients are not accepted at this time.
How are sessions charged?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What are the steps to start therapy?
Choose the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.