- Anxiety and phobia
- CBT and DBT methods
- Caregiver stress
About Marian
Marian Howard is an MA, Licensed Mental Health Counselor (LMHC) practicing in Massachusetts with 20 years of experience. She works with people facing anxiety, depression, trauma, addiction, and life changes, and lists social anxiety and phobia among her focus areas.
She uses straightforward, evidence-informed methods in session. Marian helps people notice unhelpful thinking, practice different responses, and build skills to manage panic and strong emotions. She also addresses relationship difficulties, communication problems, and the stress that comes from caregiving or major life shifts.
Marian draws on client-centered work to keep the focus on each person's experience. She pairs that with cognitive behavioral techniques to identify patterns of thinking that keep problems going. For people who have intense emotions or self-destructive behaviors, she incorporates DBT skills to teach distress tolerance and emotion regulation.
Her background includes long-term clinical work with trauma, grief, and addiction concerns. She also supports people working on self-esteem, boundaries, and intimacy-related issues. Marian emphasizes practical steps people can take between sessions to notice progress and practice new habits.
She accepts clients from outside the U.S. and conducts work in English. Before booking, readers should confirm current session options and scheduling details using the online matching process described on the site.
How Marian’s approaches translate to online work
Marian uses client-centered therapy to keep attention on each person's experiences and priorities, helping people feel heard and steering sessions by what matters to them most. Cognitive behavioral therapy (CBT) offers concrete ways to spot unhelpful thoughts and practice alternative responses, which suits action-focused work on anxiety and panic. Dialectical behavior therapy (DBT) teaches skills for managing intense emotions and improving distress tolerance, useful for panic, self-directed anger, and strong emotional reactions.Choosing the right approach is a collaborative process. Marian reviews goals, symptoms, and preferences with each person and adjusts methods over time. She explains how different tools work and helps people try approaches so they can judge what fits best for them.
The original biography does not specify session formats, so confirm current online options before booking. Many people find online sessions easier to fit into a workday or caregiving schedule, or to keep therapy consistent when travel or relocation occurs. Others prefer shorter check-ins when bandwidth is limited. Discussing practical details during the matching questionnaire helps set up sessions that work with everyday life rather than replacing it.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
Massachusetts
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, addictions, trauma and abuse, bipolar disorder, depression, grief, intimacy-related issues, parenting strain, anger, self-esteem, coping with life changes, compassion fatigue, ADHD, and social anxiety and phobia.
What is her therapeutic style?
Her work is client-centered with practical tools from cognitive behavioral therapy and dialectical behavior therapy to manage thinking patterns and intense emotions.
How much clinical experience does she have?
She has 20 years of clinical experience providing therapy for a broad range of emotional and behavioral concerns.
What are her credentials and where does she practice?
She holds an MA and is a Licensed Mental Health Counselor (LMHC) practicing in Massachusetts.
Do sessions happen in other languages or to international clients?
Sessions are offered in English and she accepts international clients.
What session formats are available?
The original biography does not list specific session formats; confirm current session options before booking.
How does pricing work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin if I want to work together?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.