Mary (Peggy) Keating , LISW

Mary (Peggy) Keating is an Ohio-based LISW with 40 years of clinical experience. She focuses on clear, practical work that helps people address what gets in the way of daily life. Her style is warm but direct, mixing support with honest feedback when that keeps progress moving.

Mary helps people with a wide range of concerns including stress, anxiety, depression, trauma and abuse, addictions, grief, and self-esteem. She also supports those navigating identity and LGBT issues, intimacy questions, and relationship strains. She works with health-related struggles such as chronic pain, cancer, caregiving stress, and sleep or eating problems.

Her approach draws on Cognitive Behavioral Therapy to change unhelpful thoughts and behaviors, EMDR for trauma-related symptoms, and mindfulness practices to build awareness and calm. Motivational Interviewing and psychodynamic ideas also inform how she tailors sessions to each person's needs. Sessions are practical and goal-oriented, not just talk for the sake of talking.

People meet Mary for both short-term problem-solving and longer work through deeper patterns. She balances listening with practical tools and occasional challenges to help people get unstuck. She explains steps plainly and checks in about what is working.

Mary offers sessions by video, phone, live chat, or text-based messaging. Appointments use a cancellable subscription model; session cost varies with location and therapist availability. To begin, prospective clients complete a short matching questionnaire and schedule based on the therapist's availability.

How Mary blends approaches for online care

Mary uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and try small behavior changes that improve daily life. CBT is practical and often used for anxiety, depression, sleep, and coping with stress.

She also uses Eye Movement Desensitization and Reprocessing, commonly called EMDR, to work with symptoms tied to past trauma. EMDR sessions focus on reducing the intensity of traumatic memories and the distress they cause.

Finding the right approach is part of the work together. Mary will discuss goals, try methods that fit a person's needs, and adjust the plan as progress is made. That collaboration helps choose whether short-term techniques or deeper therapeutic work will be best.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to give practical options. Video works well for in-depth conversations and visual cues. Phone calls can be simpler when bandwidth is limited or for a flexible check-in. Live chat and text messaging can support brief check-ins, coaching-style guidance, or ongoing encouragement between longer sessions. These options make it easier to schedule around work, caregiving, or mobility concerns while keeping the focus on meaningful therapeutic steps.