About Mary
Mary Geiger is a therapist who uses practical, evidence-based methods to help people navigate stress, addiction, trauma, and relationship problems. She holds MT LCPC, MT LMFT and has 14 years of experience working with a range of concerns. Her approach is straightforward and focused on what works for each person.
In sessions she starts by listening to the client’s story and identifying short-term goals. She uses tools from Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) to help people change unhelpful patterns and build values-based habits.
Background and approach
Dialectical Behavior Therapy (DBT) skills are also used when emotion regulation and distress tolerance are needed. Mary has experience addressing depression, anxiety, substance use and trauma. She also supports clients dealing with parenting stress, grief, intimacy issues, sleep or eating difficulties, and mood conditions such as bipolar disorder.
Additional focus areas include attachment issues, codependency, communication problems, and post-traumatic stress. Her work blends active skill teaching with collaborative planning. Sessions often include practical exercises, goal setting, and strategies clients can try between appointments.
She adapts techniques to fit a client's daily life and responsibilities. Mary practices from Montana and provides services in English. She offers a range of online session formats including video calls, phone sessions, live chat, and text-based messaging.
Getting started involves a short matching questionnaire and scheduling according to therapist availability.
How ACT, CBT, and DBT translate to online care
Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings while committing to actions that match their values. Online ACT sessions typically include values clarification and small behavioral experiments to try between meetings. Cognitive Behavioral Therapy (CBT) targets patterns of thought and behavior that maintain problems like anxiety or depression, using structured exercises and homework to test new ways of thinking. CBT tools work well in video or phone sessions where worksheets and exercises can be reviewed together. Dialectical Behavior Therapy (DBT) teaches concrete skills for emotion regulation, distress tolerance, and interpersonal effectiveness. Short skills coaching through text or live chat can reinforce those lessons between appointments.Choosing the right approach is a collaborative process. The therapist will discuss goals, try different strategies, and adjust methods to fit a person's needs and preferences. That ongoing collaboration helps tailor ACT, CBT, DBT, or other techniques so they feel useful and realistic for daily life.
Online therapy offers practical benefits for people with busy schedules or transportation limits. Video calls let therapists see nonverbal cues and work through exercises together. Phone sessions use less bandwidth and can be an easier check-in. Live chat and text-based messaging make it possible to get brief coaching, check-ins, or skills practice between longer sessions. These options increase flexibility and make it easier to keep momentum between appointments.
Questions people ask
What kinds of problems does Mary help with?
How would you describe her therapy style?
What background does she bring to her work?
Where is she based and what are her credentials?
Can I work with her if I live outside the United States?
What session formats are available?
How much do sessions cost?
How do I begin working with her?
What this counselor works with
Also listed
- Abandonment
- ADHD
- Anger management
- Antisocial personality
- Attachment issues
- Bipolar disorder
- Codependency
- Communication problems
- Coping with life changes
- Dependent personality
- Depression
- Eating disorders
- Family conflicts
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Mood disorders
- Parenting issues
- Post-traumatic stress
- Relationship issues
- Self esteem
- Sleeping disorders
Therapeutic approaches
- Experience
- 14 years
- Licensed
- Montana
- Languages
- English