Mary Koch , LMHC

Mary Koch is a warm, inviting Licensed Mental Health Counselor (LMHC) who creates a calm, approachable atmosphere for therapy. In video sessions she offers visual elements to engage with and small tactile items to help clients focus, and she brings a friendly, reassuring presence to every meeting.

She draws on a range of therapeutic methods, including REBT, Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT), describing these as different approaches to reframing thoughts and developing practical coping skills. Many clients have said "we are just talking, or wow you are really good at this," a response Mary attributes to reflective reframing that helps people hear their own insights in a non-judging way. She emphasizes that the work comes from the client and supports them in noticing small positives, no matter how subtle.

Mary has extensive experience addressing depression, personality disorders, trauma, grief, and anxiety disorders. She most recently provided outpatient services to individuals with dual diagnosis at a substance and alcohol abuse facility and previously worked in educational settings with children through college-age youth. Her background also includes providing therapy in correctional settings and supporting people exploring sexual identity and gender. Mary posts 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, and she checks messages throughout the day while responses on weekends may take longer.