Mary Koch

Mary Koch welcomes people who have taken the first step toward getting support. She creates a warm, inviting environment for virtual sessions, offering visual options for video meetings and small tactile items to help with focus during sessions. Mary draws on a range of therapeutic approaches, including rational emotive behavior therapy (REBT), cognitive behavioral therapy (CBT), and acceptance and commitment therapy (ACT), using reframing techniques that reflect thoughts back in a nonjudging way so clients can hear and make sense of their own insight.

She helps clients notice positives in their lives, however small, and maintains a judge-free space where people can feel mad, sad, happy, or any way they choose. Mary emphasizes that the work of change comes from the client and that she will be alongside them in that supportive, nonjudging space.

With eight years of experience, Mary has worked across a variety of settings, including outpatient dual-diagnosis services at a substance and alcohol treatment facility, schools serving children from age five through college, and correctional settings such as prisons and jails. She has provided care for individuals facing depression, personality disorders, trauma and abuse, grief, anxiety disorders, addictions, bipolar disorder, sleeping disorders, self-esteem concerns, anger management needs, and challenges related to coping with life changes, as well as those exploring sexual identity and questions about gender.

Mary is a licensed mental health counselor in both Florida and Iowa. She is available in the virtual office on Mondays from 3 pm to 6 pm, Tuesdays from 3 pm to 6 pm, Wednesdays from 7 am to 3 pm, and Thursdays from 7 am to 3 pm; these hours are subject to change and she is open to discussing special accommodations. She checks messages throughout the day and asks clients to understand that response times may vary, with weekends possibly taking a little longer than weekdays.