01 · Who Mary works with

Mary works with stress, Anxiety, addictions and trauma and abuse

Mary lists 17 specialisms and 11 further focus areas. Specialisms are the subjects Mary chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Mary's own words

What Mary says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am currently a licensed Counselor in Montana, Texas, and Arizona specializing in mental health issues along with issues dealing with substance abuse and addictions. I have a private practice where I offer services to adults, adolescents, children, and families. I worked for 10 years as a clinical director in a Department of Corrections setting providing substance abuse and mental health treatment for individuals with Felony DUI's. My expertise is in working with depression, anxiety, substance abuse, and also in helping children deal with trauma. While I work in the corrections setting during the day, I have a private practice, where I work with families, couples, individuals including adults, teens and children. Living in rural Montana, I enjoy working with a wide variety of clients with various mental health concerns.

My counseling style is empathetic in nature. I begin by getting to know my client and what will work best for them. The most frequent orientations that I utilize include cognitive-behavioral therapy, person centered, family systems, and mindfulness. I use an eclectic array of techniques that will be determined with the client and then utilized to develop a treatment plan unique to the client's concerns. I am trained in EMDR (Eye Movement Desensitization and Reprocessing) and provide EMDR to clients that it is appropriate with through evaluation.

Counseling is a process that can be very beneficial to help address various aspects of a person's life. I look forward to building a therapeutic relationship where we can work together to meet your needs.

A little bit about me outside of Betterhelp. I enjoy being a grandmother to 5 grandchildren (and 1 on the way) and spending as much time with them as I can. I also am an avid traveler and have goals to visit as many countries as I can in the future. I enjoy planning my travels as much as I do the traveling part, so I am always planning for some future trip. If I can be outside, hiking and enjoying nature, I am, one of the many blessings of living in Montana.

Mary Geiger, on the BetterHelp listing · read 7 Nov 2026

03 · How Mary works

The 7 approaches Mary lists, in plain English

These are the clinical methods Mary lists. The descriptions are Maker Therapy's, not Mary's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Mary runs a session.

Acceptance and Commitment TherapyACT

Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Eye Movement Desensitisation and ReprocessingEMDR

A structured trauma protocol in which you hold a distressing memory in mind while following a repeated side-to-side cue. The mechanism is still debated; the outcome data in post-traumatic stress is strong enough that it appears in national treatment guidelines.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

Mary practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Mary's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Mary at this point.

2. Naming Mary specifically

   BetterHelp matches algorithmically by default, so asking for Mary is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Mary.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Mary

Built from what Mary actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Mary's - Mary has not seen them and is under no obligation to answer any of them.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 18 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LPC

Licensed in

Montana

Licence

TX LPC 102056, AZ LPC LPC-24736

Licence number

BBH-LCPC-LIC-1500

Licence expires

31 Dec 2026

NPI

1982915831

Years in practice

18

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Mary's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Nov 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Mary. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.