Mary Koch, LMHC - Therapist in Iowa

Conversational style
Focus on sleep
Judgement free space

About Mary

Mary Koch is a Licensed Mental Health Counselor (LMHC) with eight years of clinical experience. She greets clients with a warm, straightforward style and focuses on practical conversation that helps people notice new perspectives. Mary is comfortable discussing sleep and rest concerns alongside stress, anxiety, grief, and substance-related issues.

Her sessions are conversational and down-to-earth. She listens, reflects what she hears, and helps people reframe their thoughts so they can see small positives. Mary aims to create a judged-free space where clients can feel whatever comes up without pressure to perform.

Mary draws on multiple approaches such as cognitive behavioral ideas, acceptance-based tools, and attachment-informed work to match a person's goals. She has experience supporting people through trauma, depression, personality-related concerns, and dual-diagnosis treatment in outpatient substance and alcohol settings. She has also worked in schools and correctional settings, and with people exploring sexual identity.

Practical matters are part of how she works. Mary posts regular virtual hours during the week and checks messages throughout the day. She asks clients to use the Start Therapy button, fill a short matching questionnaire, and schedule according to availability so sessions can be arranged.

Mary tries to help people build new habits for sleep, cope with life changes, and manage strong emotions. Conversations are focused, achievable, and tailored to each person's day-to-day needs.

How her approaches translate to online therapy

Mary often uses Acceptance and Commitment Therapy and cognitive behavioral ideas in her work. Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting stuck in them, and then committing to actions that match personal values. ACT can help with sleep problems, anxiety, and coping with change. Cognitive Behavioral Therapy (CBT) looks at how thoughts and behaviors interact and teaches concrete techniques to change unhelpful patterns, which can be useful for insomnia, anxiety, and depression.

Finding the right approach is part of the process. Mary works together with each person to decide which tools fit their goals and daily life. That collaboration means therapy can shift over time as needs or priorities change.

Confirm the current session options before booking since formats are not specified here. Online work can make it easier to fit sessions into a busy week, shorten check-ins when needed, and avoid travel time. It can also allow for working on sleep routines and day-to-day habits in the context of the client’s normal schedule rather than in a separate visit, and Mary will discuss what will be most helpful during the first meetings.

Areas of expertise

Primary focus

Stress, Anxiety Trauma and abuseSleeping disordersSelf esteem Depression

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

Credentials

Iowa, Florida

Languages

English

Frequently asked questions

What kinds of problems can Mary help with?

She works with stress, anxiety, sleep and rest issues, depression, grief, addictions, and related concerns such as attachment and body image.

How would she describe her therapy style?

Her style is warm and conversational. She listens, reflects what she hears, and helps clients reframe thoughts into more helpful perspectives.

What is her background and clinical experience?

Mary has eight years of experience, including outpatient dual-diagnosis work, school-based services, and time spent in correctional settings.

What credentials does she hold and where is she based?

She is a Licensed Mental Health Counselor, listed as FL LMHC and IA LMHC, and practices from Iowa.

Can people meet with her in languages other than English?

Sessions are offered in English only.

Are international clients able to work with her?

She does not accept international clients at this time.

How does payment and cost work?

Cost varies with location and therapist scheduling; sessions use a subscription that can be canceled at any time.

How do I begin if I want to work with her?

Click the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on the therapist's listed availability.