01 · Who Mary works with

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

Mary lists 16 specialisms and 17 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.

Hello! So glad you decided to stop by! I am Jackie Downie, Licensed Clinical Social Worker. You are on your first step on your journey. Some are looking for self-improvement, some are searching for ways to handle anxiety and depression, some are hoping for a new path out of past challenges. I have over twenty years of experience in counseling and therapy. I have experience in getting people where they want to go in their lives. I would love to be there for you! When I work with people, I start with what has worked for you in the past that we can bring forward again in your present challenges. Often people have overlooked their own positive qualities or ideas that can make a big difference. Together we will explore what from your past may be holding you back, and examine and think through new ways to think about your current life and situations. You might start with some new thoughts and behaviors that will create positive change. I have worked with people experiencing anxiety, depression, attention challenges, trauma from childhood and teen years and trauma from more recent events. I have helped parents of kids of all ages and people in trouble at work. I have found ways for people who are extremely stressed by coworkers or managers to hang on and actually make their work lives better. I have helped those who have lost a special person to handle the phases of grief. Each person is an individual, with their own specific issues that they face in their lives that might be similar to others, but can never be exactly the same as another person. I am happy you reached out here. You will find the support and assistance you deserve. Hope to talk with you soon!

Mary "Jackie" Downie, on the BetterHelp listing · read 9 Oct 2026

03 · How Mary works

The 5 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.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

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.

Emotionally Focused TherapyEFT

Built for couples and rooted in attachment: the recurring argument is treated as a cycle two people are stuck in rather than as one person's fault. Sessions work to interrupt the cycle and get to what each person is actually asking for underneath it.

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

4 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.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “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 20 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

LCSW

Licensed in

Wyoming

Licence

OR LCSW L2425, WY LCSW LCSW-945

Licence number

LCSW-945

Licence expires

13 Jul 2027

NPI

1518053776

Years in practice

20

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 9 Oct 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.