Mary Koch, LMHC
Iowa LMHC specializing in trauma and anxiety
- Stress and anxiety
- Trauma care
- Flexible online sessions
About Mary Koch
Mary Koch is a Licensed Mental Health Counselor (LMHC) based in Iowa with eight years of clinical experience helping people navigate stress, anxiety, trauma, grief, depression, relationship challenges, and substance-related concerns. She creates a warm, inviting therapeutic environment and offers options for video sessions that include visual items and tactile fidgets for clients who find those tools helpful.
Her approach blends evidence-based methods such as Rational Emotive Behavior Therapy (REBT), Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT). She frequently uses reframing to reflect clients' own words back in a nonjudging way so clients can notice different perspectives and claim credit for their insights. Mary emphasizes a judge-free space where emotions of anger, sadness, relief, or joy are all valid and where the work comes from the client rather than being imposed by the therapist.
Mary has worked across settings including outpatient dual-diagnosis treatment for substance and alcohol use, schools serving children through college-age students, and correctional facilities. She also supports people exploring sexual identity and gender questions. Her practice addresses a wide range of concerns from sleep and self-esteem to attachment and codependency, with attention to individualized needs.
Mary maintains virtual office hours Monday 3:00 pm to 6:00 pm, Tuesday 3:00 pm to 6:00 pm, Wednesday 7:00 am to 3:00 pm, and Thursday 7:00 am to 3:00 pm. These hours may change, and she checks messages throughout the day on most weekdays, with responses potentially taking longer on weekends.
Her approach blends evidence-based methods such as Rational Emotive Behavior Therapy (REBT), Cognitive Behavioral Therapy (CBT), and Acceptance and Commitment Therapy (ACT). She frequently uses reframing to reflect clients' own words back in a nonjudging way so clients can notice different perspectives and claim credit for their insights. Mary emphasizes a judge-free space where emotions of anger, sadness, relief, or joy are all valid and where the work comes from the client rather than being imposed by the therapist.
Mary has worked across settings including outpatient dual-diagnosis treatment for substance and alcohol use, schools serving children through college-age students, and correctional facilities. She also supports people exploring sexual identity and gender questions. Her practice addresses a wide range of concerns from sleep and self-esteem to attachment and codependency, with attention to individualized needs.
Mary maintains virtual office hours Monday 3:00 pm to 6:00 pm, Tuesday 3:00 pm to 6:00 pm, Wednesday 7:00 am to 3:00 pm, and Thursday 7:00 am to 3:00 pm. These hours may change, and she checks messages throughout the day on most weekdays, with responses potentially taking longer on weekends.
Areas of Expertise
Primary Focus
Also Specializes In
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 Approach
Acceptance and Commitment Therapy (ACT) Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Emotionally-Focused Therapy (EFT) Mindfulness Therapy Motivational Interviewing Psychodynamic Therapy Solution-Focused Therapy Trauma-Focused Therapy
Frequently Asked Questions
How much experience does Mary Koch have?
Mary Koch has 8 years of clinical experience.
Is Mary Koch a licensed therapist?
Yes. Mary Koch holds the credential LMHC, which stands for Licensed Mental Health Counselor. Her license details are FL LMHC MH21935 and IA LMHC 088801.
In which languages does Mary Koch provide therapy?
Mary Koch provides therapy in English.
Where is Mary Koch located?
Mary Koch is located in Iowa.
How can I work with Mary Koch as my therapist?
Clients can work with Mary Koch through video calls, phone sessions, live chat, or text-based messaging.
Does Mary Koch work with international clients?
Mary Koch does not currently work with international clients.
How much does therapy with Mary Koch cost?
The cost of therapy can vary depending on factors such as location and availability. Sessions are billed through a subscription that can be canceled at any time for any reason. For current pricing and details, click the "Start Therapy" button on this page.
How can I get started with therapy?
Getting started is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire to help match you with a therapist. Depending on availability, you can then schedule a first session by phone, video call, live chat, or in-app messaging.
Therapeutic approaches and online support
Mary Koch integrates approaches that help clients build awareness, change unhelpful patterns, and strengthen relationships. Acceptance and Commitment Therapy (ACT) focuses on values, acceptance of difficult thoughts and feelings, and taking committed action toward a meaningful life - it is often useful for anxiety, avoidance, and life transitions. Attachment-Based Therapy explores how early and current relationships shape emotional patterns and can help with abandonment, attachment issues, and ongoing relationship difficulties. Cognitive Behavioral Therapy (CBT) offers practical tools to identify and change unhelpful thoughts and behaviors, which can be effective for depression, anxiety, sleep problems, and substance-related concerns.Choosing the right approach is part of the therapeutic process. Mary works collaboratively with each person to determine which methods align with their needs, goals, and preferences, and she adjusts strategies as work progresses. Clients are invited to share what feels most helpful so the plan reflects their priorities.
Online therapy with a licensed professional offers flexibility - sessions can take place by video call or phone, and many clients benefit from live chat or text-based messaging between appointments. These options make it easier to fit therapy into a busy life and maintain continuity of care from different locations while working with a trained therapist.