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LCPC, LMFT

Mary Geiger, LCPC, LMFT

  • Experience14 years
  • LocationMontana
  • Focus areasADHD, Stress and Anxiety, and Addictions
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT)
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About Mary

Mary Geiger brings an integrative, evidence-informed approach to therapy grounded in 14 years of clinical practice. As an LCPC and LMFT practicing in Montana, she blends cognitive and mindfulness-based methods with family systems perspectives to address concerns such as anxiety, depression, substance use, trauma, ADHD, and relationship struggles.

Background and approach

Her work includes both individual and family-focused interventions, with a history of helping children manage traumatic experiences as well as treating adults with mood and behavioral health needs.

In addition to her independent practice, she has served as a clinical director in a Department of Corrections setting providing substance abuse and mental health treatment for individuals with felony DUIs, which has informed her skills working with complex presentations and co-occurring issues.

Her style emphasizes empathy and collaboration; she and each client develop a tailored plan drawing on approaches such as cognitive behavioral therapy, acceptance and commitment therapy, dialectical behavior therapy, motivational interviewing, and solution-focused strategies.

Mary describes therapy as a process and aims to build a strong working relationship to address life transitions, grief, self-esteem concerns, intimacy and communication problems, and other presenting issues. Outside of work she enjoys spending time with her grandchildren, planning and taking trips, and hiking in Montana’s outdoors, which reflects her appreciation for connection, exploration, and resilience.

Integrating proven approaches with flexible online care



Acceptance and Commitment Therapy (ACT) helps clients clarify values and develop willingness to experience difficult thoughts and feelings while taking committed action toward meaningful goals. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thinking and behavior patterns to reduce symptoms of anxiety, depression, and related concerns. Dialectical Behavior Therapy (DBT) emphasizes emotion regulation, distress tolerance, and interpersonal effectiveness skills useful for intense emotions and relationship challenges.

Choosing the right approach is a collaborative process. The therapist will work with each client to explore needs, goals, and preferences and then tailor a plan that may draw from one or several of these methods. That collaborative stance helps ensure the work fits the person rather than forcing a single model onto every situation.

Online therapy options include video calls, phone sessions, live chat, or text-based messaging, which provide flexibility for scheduling and reaching care from different locations. These formats can make it easier to practice skills between sessions, maintain continuity of care during life transitions, and fit therapy into busy routines while working with licensed professionals to address stress, addiction, trauma, ADHD-related challenges, and other concerns.

Frequently asked questions

What kinds of concerns does she address?
She works with a wide range of issues including stress, anxiety, addictions, trauma and abuse, anger, depression, relationship and family difficulties, grief, eating and sleeping problems, parenting, self-esteem, bipolar symptoms, and ADHD.
What is her therapeutic style like?
Her approach is empathetic and collaborative, combining cognitive-behavioral techniques, mindfulness, and family systems thinking to create individualized treatment plans.
How much clinical experience does she have?
She brings 14 years of professional experience working in both independent practice and clinical director roles within a Department of Corrections setting.
What credentials and location does she hold?
She is licensed as an LCPC and an LMFT with license details MT LCPC BBH-LCPC-LIC-1500 and MT LMFT BBH-LMFT-LIC-122, and she practices in Montana.
Can people who speak other languages work with her?
Sessions are provided in English only, and she is not currently accepting international clients.
What session formats are available?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
How is cost handled for sessions?
Cost varies by location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the first steps to begin therapy with her?
Begin by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule appointments according to the therapist's availability.

Areas of expertise

Also works with

LGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesSelf esteemBipolar disorderCoping with life changesADHD

Additional focus areas

AbandonmentAntisocial personalityAttachment issuesCodependencyCommunication problemsDependent personalityGuilt and shameIsolation / lonelinessMood disordersPost-traumatic stress

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Motivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

14+ years

Licensed

Montana, Montana

Languages

English

What Mary can help with

Mary Geiger works with clients on stress and anxiety, addictions, trauma and abuse, anger management, and depression.

Mary works with adults, adolescents, children, and families.

How Mary approaches therapy

Mary's clinical approaches include Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Motivational Interviewing, Solution-Focused Therapy, and Trauma-Focused Therapy.

Experience and training

Mary is a Licensed Clinical Professional Counselor practicing in Montana, with 14 years of clinical experience.