Mary (Peggy) Keating, LISW

Mary (Peggy) Keating is a Licensed Independent Social Worker with four decades of practice. She focuses on helping people who feel stuck by looking at the issues that keep everyday life from going well. Her approach balances warmth with straightforward feedback so progress can move forward.

She listens for what matters most to each person and helps set clear, manageable goals. Sessions often focus on practical steps that reduce anxiety, improve sleep, or ease intense mood swings. Cognitive Behavioral Therapy is one of the anchored approaches she uses to help change unhelpful thinking and behavior patterns.

Mary also works with trauma and grief using techniques that gently process difficult memories and emotions. She uses mindfulness to help people notice and respond to stress rather than react to it. Motivational Interviewing is part of her work when people want help changing habits related to addiction or health.

Her background includes long experience with relationship concerns, parenting strain, caregiving stress, aging issues, and sexual diversity matters including kink and alternative sex culture. She supports people dealing with chronic illness, chronic pain, and the emotional fallouts of cancer and caregiving.

Sessions are offered by clinicians licensed in Ohio and conducted in English. The tone in sessions ranges from supportive to candid, depending on what a person needs to move forward. Mary helps clients set concrete steps and checks progress along the way.

Practical therapy methods offered online

Mary uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and try new behaviors that reduce anxiety and improve mood. CBT sessions focus on concrete skill-building and homework to test changes between meetings.

She also uses Eye Movement Desensitization and Reprocessing, or EMDR, to process traumatic memories that continue to cause distress. EMDR involves focused attention and guided procedures to help lessen the emotional impact of past events.

Finding the best approach is part of the work together. The therapist will talk through goals, try methods that fit the person's needs, and adjust the plan if something is not helping. Clients are invited to weigh in at every step so therapy stays practical and relevant.

Online therapy is offered by video calls, phone sessions, live chat, or text-based messaging to make scheduling more flexible. Video can support hands-on skills practice and EMDR work, phone can be easier when bandwidth is limited, and chat or messaging can suit quick check-ins or ongoing coaching between sessions. These options help therapy fit into busy days and different life rhythms.