Mary Geiger

Mary Geiger is a licensed counselor and marriage and family therapist practicing in Montana. She brings 14 years of experience helping people with stress, anxiety, addiction, anger, depression, grief, relationship concerns, and parenting challenges. Mary works with adults, teens, and children in a private practice setting and also provides treatment in a corrections setting during the day.

She focuses on practical, down-to-earth work. Sessions often start by identifying immediate goals and what the person finds most helpful. Mary commonly uses approaches such as cognitive behavioral methods, acceptance and commitment strategies, dialectical behavior ideas, motivational interviewing, and solution-focused techniques to shape a personalized plan.

Her background includes working with substance use and with people who have experienced trauma. She has experience addressing mood disorders, PTSD, attachment and codependency issues, eating and sleeping problems, and challenges tied to identity and intimacy. This variety comes from both private practice work and her clinical role in correctional settings.

Mary describes her style as empathetic and collaborative. She aims to get to know each person and to adapt methods that fit their life and goals. In sessions she helps people build skills, notice patterns, and try small changes between appointments.

Outside of work she enjoys hiking, travel, and family time with her grandchildren. That practical, grounded outlook shows up in how she structures therapy and supports people through real-life problems.

Therapeutic approaches and how they fit online

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, and then take action guided by their values. It can help with anxiety, depression, anger, and coping with life changes. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and actions, and teaches practical skills to change unhelpful patterns; it is often used for anxiety, mood concerns, sleep, and addictive behaviors. Dialectical Behavior Therapy (DBT) emphasizes emotion-regulation, distress-tolerance, and interpersonal skills for managing intense emotions and relationship conflicts.

Finding the right approach is part of the work. Mary collaborates with each person to choose methods that fit their needs, goals, and preferences. She often blends techniques so the plan matches what actually helps the person in day-to-day life.

If you are considering online therapy, confirm the specific session formats before booking. Online sessions can make it easier to fit therapy into a busy schedule, reduce travel time, and allow for shorter check-ins when needed. They also let people use approaches like ACT or CBT in ways that translate well to remote appointments, such as tracking thoughts between sessions and practicing skills in real situations.