About Mary
Mary Downer is a Licensed Independent Social Worker (LISW) based in Ohio with 17 years of clinical experience. She focuses on practical strategies to reduce stress, anxiety, and depression while addressing trauma and related concerns like anger, grief, and compassion fatigue. Mary emphasizes strengths and clear steps that people can use right away.
Her approach centers on active, problem-solving methods. She uses Cognitive Behavioral Therapy to help people notice patterns of thinking and change unhelpful habits.
Background and approach
Trauma-Focused Therapy is used when past events continue to affect daily life and relationships. Mary listens without judgment and works with each person to set realistic goals. Sessions are built around what the individual says is important, and she offers coaching-style guidance when helpful.
The tone is direct, supportive, and practical. She also addresses issues that often overlap with ADHD, such as impulsivity, focus problems, and frustration. Mary helps people develop routines, communication skills, and coping tools that fit day-to-day life.
People who prefer remote care can meet by video, phone, live chat, or text-based messaging. Mary guides each person through the first steps so they know what to expect and how to move forward.
How Mary’s Approaches Work Online
Mary uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and change behaviors that get in the way of daily life. CBT often involves small experiments, clear homework, and skill practice to reduce anxiety, manage mood, and improve focus.She also uses Trauma-Focused Therapy when past events continue to cause distress. This approach works slowly to process difficult memories and reduce their hold on current reactions, making everyday activities feel more manageable.
Choosing the right approach is a team effort. Mary discusses goals and preferences with each person and adjusts techniques as progress is made. She aims to match tools to what fits someone’s routine and needs, rather than using a one-size-fits-all plan.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to make care more flexible. Video is useful for fuller conversation and visual cues, phone works well when bandwidth is limited, live chat or text can support quick check-ins or brief coaching, and text messaging is handy for ongoing reminders and short updates. These options help people fit therapy into work, caregiving, or busy schedules.
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What this therapist works with
Most often
- Stress, Anxiety
- Trauma and abuse
- Anger management
Also listed
- ADHD
- Autism and Asperger Syndrome
- Coaching
- Communication problems
- Compassion fatigue
- Control issues
- Coping with natural or human-caused disaster
- Depression
- Family conflicts
- Family problems
- Grief
- Guilt and shame
- Impulsivity
- Intellectual disability
- Isolation / loneliness
- LGBT
- Life purpose
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Pregnancy and childbirth
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 17 years
- Licensed
- Ohio
- Languages
- English
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