Mary (Peggy) Keating

Mary (Peggy) Keating is a licensed independent social worker (LISW) with forty years of clinical experience. She focuses on helping people untangle issues that stop them from living well. She listens with empathy and offers clear, direct guidance when change feels stalled. Her work covers identity and LGBTQI concerns, mood and anxiety problems, relationship stress, grief, and aging. She also supports people coping with trauma and abuse, addiction, chronic illness, caregiving strain, and sleep or eating difficulties. Sessions address practical problems such as communication breakdowns, work and career stress, and life transitions. Mary blends approaches to match each person’s needs. She uses Trauma-Focused Therapy and Eye Movement Desensitization and Reprocessing (EMDR) when trauma is central. Cognitive Behavioral Therapy (CBT) and mindfulness skills are used to change unhelpful thinking and manage strong emotions. Her style is both gentle and straightforward. She will validate experiences and also push when needed to help someone get unstuck. That mix can help people move from feeling overwhelmed to taking manageable steps forward. People who come to her can expect a focus on real-life problems and simple strategies. Work may include skill-building, problem-solving, and exploring how past events shape present choices. To begin, readers should follow the site’s Start Therapy process and complete the matching questionnaire.

How therapeutic approaches work in online care

Trauma-Focused Therapy helps people name and process the effects of past trauma so symptoms like anxiety, flashbacks, or avoidance become easier to manage. It focuses on what happened and how it still affects daily life. Cognitive Behavioral Therapy, or CBT, looks at patterns of thought and behavior that keep problems going. It teaches concrete skills for changing unhelpful thinking and building new habits for mood and anxiety concerns. Eye Movement Desensitization and Reprocessing, EMDR, uses guided attention and memory work to reduce the intensity of traumatic memories. It is often used when trauma memories cause ongoing distress. Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and what feels most useful. That collaborative decision helps tailor sessions to each person's needs. Online therapy can make it easier to fit sessions into a busy life. It can reduce travel time, allow shorter check-ins when needed, and make scheduling around work or caregiving simpler. Because session formats were not listed in the biography, confirm the available online options before booking so you know what to expect.