01 · Who Mary works with

Mary works with stress, Anxiety, relationship issues and self esteem

Mary lists 11 specialisms and 22 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 and welcome. My name is Mary Vietmeier. I am passionate about life and all the complexities that come with it. I have been a caregiver since childhood being the oldest of four and then followed my mother's footsteps as a registered nurse (1975). I loved nursing having worked in surgery, labor and delivery, and cancer research until 1988 when I sustained a serious back injury. Nursing as I knew it was no longer an option. I returned to school and retreaded my career graduating from Capital University (1993) Summa Cum Laude. I was accepted and graduated from Ohio State University (2001) and became a licensed clinical professional counselor in Ohio (2001) qualified to diagnose and treat mental issues as well as adjustment concerns. After retiring in 2016 an opportunity to study theology in seminary was offered to me, I accepted and graduated in May 2020 with a Masters in Divinity. Summer of 2021 I completed an internship at Providence Medical center in Anchorage as a chaplain. I tended to the emotional and spiritual needs of those suffering severe and often life-threatening circumstances. Caring for family and friends was frequently included.

As a nurse I experienced the coming, going, and what's inside of humans pertaining to physical health. As a mental health therapist, I understand the realities of mental, emotional, and life crises. As a theologian, I understand religious traditions, belief systems and how these can be or in some cases are not spiritually comforting.

Now you might be asking why I am telling you all this. My approach is from a person-centered holistic point which looks at who you are physically, mentally, and spiritually with no judgments. Diversity is a beautiful aspect of nature including humanity. We are complex creatures and our behavior is intertwined with the whole of who we are. Working with someone who "gets who you are as a whole" and accepts you just as you are is foundational to therapy that is effective and satisfying.

I have extensive experience with treating depression, anxiety, health crisis, relationship issues, and issues involving spirituality, organized religion, and your journey and life purpose. While occasionally making an exception due to circumstances, I do not typically do family and marriage counseling; addictions, or ADHA. My preference is to work with individuals using the video option as 80 % of communication is nonverbal. Whether it is one specific issue you seek help with or a multifaceted history of compounding issues, I feel confident as we work together you will gain some clarity, greater insight into yourself, an increased understanding of others, and choices will become clear. No matter how bad things might seem right now there is always a degree of hope. I have lived a life of resiliency and want to share that strength with others by using the eclectic collection of skills from years of professional training and life experience. The first step of reaching out is not easy . . . . . however when you take that step you will no longer be alone on your journey.

Thank you for reading this and getting to know a little about me. I look forward to the opportunity to meet, get to know you, and share this part of your life's journey. It would be my honor.

Mary Vietmeier, on the BetterHelp listing · read 9 Oct 2026

03 · How Mary works

The 12 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.

Attachment-Based Therapy

Reads present-day relationship difficulty through the lens of how safety and closeness were learned early on. The therapeutic relationship itself is treated as part of the work, because it is where the pattern tends to show up first.

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.

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.

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.

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.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

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.

Narrative Therapy

Treats the story you tell about your life as something that can be examined and retold rather than as the plain facts. Separates the person from the problem - “the anxiety” rather than “your anxiety” - to make room for the parts the current story leaves out.

Psychodynamic Therapy

Works on the assumption that current patterns - in relationships, at work, in how you treat yourself - have a history, and that seeing the history loosens the pattern. Less structured than CBT, usually longer, and more interested in what comes up unbidden than in a weekly agenda.

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.

Also listed

• Existential Therapy
• Jungian Therapy

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 Attachment-Based 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 21 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

LPCC

Licensed in

Ohio

Licence

OH LPCC E.0004159

Licence number

E.0004159

Licence expires

16 Jan 2028

NPI

1619149390

Years in practice

21

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.