About Mary
Mary (Peggy) Keating is a licensed independent social worker with 40 years of clinical experience. She focuses on the everyday problems that get in the way of functioning and satisfaction, including stress, anxiety, mood concerns, addiction, grief, and ADHD. Her manner is both supportive and straightforward.
She listens closely and will challenge unhelpful patterns when needed. Over decades of practice she has worked with people facing trauma, relationship struggles, caregiving stress, and changes that come with aging.
Background and approach
Her approach blends practical skills and insight so clients learn to manage symptoms and make changes that feel real. Sessions often include short-term problem solving alongside deeper work about patterns that repeat. Mary uses tools drawn from cognitive behavioral therapy to address thinking and behavior.
She also integrates mindfulness practices to help with emotional regulation and EMDR for processing trauma when appropriate. Motivational interviewing and psychodynamic ideas appear in her work when they fit a client’s goals. Her style is direct but warm.
She helps people set achievable goals, try new behaviors, and notice what’s keeping them stuck. She also supports people navigating identity and LGBT-related concerns with respect and openness. Mary practices in Ohio and conducts sessions in English.
She offers several online formats to make care fit into busy lives. To begin, people complete a short questionnaire and schedule sessions based on availability.
How Mary blends proven approaches for online care
Mary often uses cognitive behavioral therapy, which focuses on spotting unhelpful thoughts and testing new behaviors to reduce symptoms like anxiety or low mood. It’s practical and action-oriented, so clients leave sessions with specific skills to try between meetings.She also uses EMDR when addressing past trauma. EMDR helps people process distressing memories and reduce their emotional charge, which can ease symptoms tied to traumatic events.
Finding the right approach is part of the work. Mary will talk with clients about goals and preferences, then recommend strategies that fit their situation. That decision is collaborative and can change as therapy progresses.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets therapists read facial cues and do longer sessions, phone can be easier if bandwidth is limited, live chat or messaging supports brief check-ins and ongoing coaching. These options make it easier to fit sessions into busy schedules and keep continuity when life gets hectic.
Questions people ask
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What this therapist works with
Most often
Also listed
- ADHD
- Aging and geriatric issues
- Anger management
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating disorders
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Immigration issues
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Paranoia
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Traumatic brain injury
- Visually impaired
- Women's issues
- Workplace issues
Therapeutic approaches
- Experience
- 40 years
- Licensed
- Ohio
- Languages
- English
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