Mary Koch, LMHC

How therapy approaches shape online work

Emotionally-Focused Therapy (EFT) centers on identifying and deepening emotional experiences to help people make sense of patterns that feel stuck. EFT can be useful for people who want to understand how strong feelings drive their behavior and relationships.

Acceptance and Commitment Therapy (ACT) focuses on noticing difficult thoughts and feelings without fighting them and choosing actions that match personal values. ACT is often helpful for stress, anxiety, and when someone wants practical steps to live a more value-driven life.

Attachment-Based Therapy looks at how early connection patterns affect current responses to closeness and loss. This approach can help people who struggle with abandonment, attachment issues, or recurring relationship patterns.

Mary treats approach selection as a collaborative process. She will listen to your goals and try ideas from different methods to see what fits. Together you’ll pick strategies that match your needs and can be practiced between sessions.

Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. Video works well for face-to-face conversation and visual cues, phone suits shorter check-ins or lower bandwidth, chat can be good for brief exchanges, and messaging lets people reflect in writing. These options make it easier to schedule around work, school, or caregiving and to try different ways of connecting with a therapist.