CBTTherapistsUSA

The therapist listings are provided by BetterHelp and we will earn a commission if you use our link - at no cost to you.

MK Portrait of Mary Koch

Mary Koch

Compassionate, practical care for real-life challenges

LMHC Iowa

Experience
8 years in practice
Focus areas
Stress, Anxiety, Trauma and abuse, Sleeping
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English
Continue with Mary

About Mary

Mary Koch is a licensed mental health counselor with eight years of clinical experience who blends evidence-based methods to help people manage stress, anxiety, depression, trauma, and related concerns.

Background and approach

She draws on Cognitive Behavioral Therapy along with Acceptance and Commitment Therapy and attachment-informed approaches to support clients in identifying unhelpful patterns and developing practical skills for change. Mary emphasizes a nonjudgmental, collaborative stance, inviting clients to explore thoughts and feelings while she reflects and reframes what emerges so clients can see their own progress.

Her work covers a wide range of issues including sleep problems, addiction and dual-diagnosis concerns, grief, anger, bipolar symptoms, self-esteem, and challenges tied to identity and relationship dynamics. Mary also addresses attachment-related struggles, codependency, communication and commitment issues, and the impacts of domestic violence, dissociation, or major life transitions.

She strives to highlight strengths and small positives as part of the healing process, creating a welcoming environment where difficult emotions are acknowledged and worked through alongside practical coping strategies.

Online approaches that combine practical skills and relational focus



Cognitive Behavioral Therapy helps clients identify unhelpful thoughts and behaviors and replace them with more adaptive patterns, often using structured exercises to reduce symptoms like anxiety, depression, and sleep problems. Acceptance and Commitment Therapy emphasizes values-driven action and learning to live with difficult emotions while building flexibility and mindful awareness, which can be useful for stress, trauma reactions, and coping with life changes. Attachment-Based Therapy explores relationship patterns and early relational wounds to improve interpersonal functioning and emotional regulation, supporting work on abandonment, codependency, and communication difficulties.

Choosing the right approach is part of the therapeutic process, and Mary works collaboratively with clients to assess needs, goals, and personal preferences before shaping a plan. She integrates methods rather than relying on a single technique so the care fits the person and the problem rather than the other way around.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These options let clients match the format to their schedule and comfort level, making it easier to maintain momentum between appointments and apply new skills in day-to-day life.

Frequently asked questions

What kinds of concerns does this therapist address?
Mary works with a broad set of concerns including stress, anxiety, depression, trauma and abuse, sleep problems, addictions, grief, anger, bipolar symptoms, and issues related to sexual orientation and identity.
What is the therapist's general approach to therapy?
The approach is client-centered and collaborative, using techniques from Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, attachment-informed work, and emotionally focused methods to reframe thinking and build coping skills.
How much clinical experience does the therapist have?
She has eight years of experience working in diverse settings including outpatient dual-diagnosis treatment, schools, and correctional facilities.
What credentials and location are listed for the therapist?
Mary holds the LMHC credential with licensure details FL LMHC MH21935 and IA LMHC 088801, and she is based in Iowa.
Are sessions available in other languages or for international clients?
Sessions are provided in English, and she is not currently accepting international clients.
Which session formats are offered for online work?
She offers multiple formats including video calls, phone sessions, live chat, and text-based messaging to accommodate different needs and preferences.
How are fees and payment handled?
Costs vary by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working with this therapist?
To get started, select the Start Therapy button, complete a brief matching questionnaire, and then schedule a session according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyTrauma and abuseSleeping disordersSelf esteemDepression

Also works with

AddictionsLGBTGriefAnger managementBipolar disorderCoping with life changes

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 approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

8+ years

Licensed

Iowa, Florida

Languages

English