- Direct and supportive
- Focus on sleep issues
- Mindful and practical
About Mary
Mary (Peggy) Keating is a licensed independent social worker with forty years of clinical experience. She draws on a long career supporting people who are stuck by stress, mood, relationship strain, addiction, grief, trauma, and sleep problems. Her style blends steady support with clear, direct guidance when clients need a push to change habits that no longer serve them.
Clients can expect straightforward conversation about what gets in the way of daily life. She listens for identity and relationship issues, including LGBTQI concerns, and addresses how past and present trauma affects functioning. Sessions move between practical problem solving and deeper reflection based on what the person needs that day.
Keating uses a mix of approaches that match the problem at hand. This can include techniques that examine thoughts and behaviors, methods aimed at processing traumatic memories, and mindfulness practices to calm the nervous system. Motivational strategies help people find reasons to change and keep moving forward.
She also works with issues that often show up alongside other concerns, such as chronic illness, caregiving stress, aging, sexual diversity and kink, and challenges around parenting or blended families. Conversations cover day-to-day coping, self-esteem, and intimacy concerns as needed.
Her manner is both warm and candid. That balance helps people make practical changes while also attending to deeper emotional wounds. To begin, visitors can use the site Start Therapy flow to match and schedule a session with her.
Therapeutic approaches and working online
Mary uses Cognitive Behavioral Therapy to help people notice and change unhelpful thoughts and habits that keep problems going. CBT is useful for anxiety, mood problems, sleep difficulties, and behavior change because it focuses on practical strategies and homework.She also uses Eye Movement Desensitization and Reprocessing to address traumatic memories and their emotional impact. EMDR aims to reduce the hold of distressing memories so daily functioning improves. Mindfulness Therapy is another common element, teaching simple attention practices to reduce reactivity and improve sleep and focus.
Choosing the right approach is collaborative. The therapist will talk with each person about goals, what has helped or not helped before, and which methods feel tolerable. Together they pick steps that fit the client's needs and pace.
Confirm the available session formats before booking so expectations match practice offerings. Online therapy can make it easier to fit sessions into a busy week, avoid travel time, and keep workday interruptions brief. It also allows continued momentum between visits by using short check-ins and homework that fold into normal routines.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
40+ years
Credentials
Ohio
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with a wide range of concerns including stress, anxiety, addiction, depression, trauma, grief, relationship and intimacy issues, sleep problems, parenting strain, and career stress.
What is her general approach in sessions?
Her approach mixes practical skill work with reflective therapy. She can be gentle and supportive yet also direct when clients need clear feedback to make changes.
How much clinical experience does she have?
She has forty years of experience working in clinical settings and with a broad range of concerns across the lifespan.
What credentials and location should I know about?
She holds an Ohio LISW, which stands for Licensed Independent Social Worker, and practices from Ohio.
Which languages are offered and can I work with her from another country?
Sessions are offered in English. She does not accept international clients at this time.
What session formats are available?
Please confirm current session options before booking so you know whether in-person or remote sessions are offered by the therapist.
How does pricing work for sessions?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin or schedule a session?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.