Mary Keane

Mary Keane is a DC LICSW with ten years of clinical experience. She works with adults facing stress, anxiety, relationship struggles, grief, low self-esteem, and major life changes. Her practice also addresses issues such as abandonment, attachment concerns, body image, chronic illness and pain, codependency, control struggles, and end-of-life matters.

She speaks plainly in sessions and focuses on practical conversation. Mary acknowledges that starting therapy feels daunting and that busy lives often push it aside. She notes telehealth can make fitting sessions into a schedule easier and that many people benefit from having a regular space to talk things through.

In conversations she helps people identify obstacles that get in the way of daily functioning and decision making. Sessions involve listening, reflecting, and looking at specific patterns that repeat in relationships or work. She frames change as difficult but possible, and she works with clients to try different ways of responding to stress and difficult emotions.

Mary’s experience includes helping people cope with family of origin issues, fatherhood concerns, first responder stress, hospice and end-of-life questions, and grief after loss. She also assists those managing chronic health conditions or the emotional aftermath of disasters.

To begin, prospective clients complete a short matching questionnaire and schedule a first session. Fees vary by location and sessions use a subscription that can be canceled at any time.

How evidence-based methods translate to online sessions

Mary describes her work as drawing on evidence-based therapeutic techniques that help people manage emotions and change patterns. One common approach is practical skills work that teaches ways to reduce anxiety and manage stress through specific exercises and repeated practice. This helps when worries get in the way of daily tasks or decision making.

Another approach focuses on relationship patterns and attachment concerns. That kind of work looks at how past relationships shape current responses and practices ways to try different reactions in close relationships. It is useful for people who find the same conflicts repeat across jobs or partnerships.

Finding the right approach is part of the process and she works collaboratively to pick methods that fit a person’s needs, goals, and preferences. The therapist and client review what helps and adjust course as needed rather than sticking to a single fixed plan.

The biography does not list specific session formats, so confirm current online options before scheduling. Online work can make it easier to fit sessions into a busy day, shorten a check-in when time is limited, or avoid travel time. Licensed professionals can use remote appointments to maintain continuity of care when life gets in the way of in-person meetings.