- Family of origin issues
- Anxiety and depression
- English and Spanish
About Marianne
Marianne Costales-Roman is an LCSW licensed in Illinois with 27 years of clinical experience. She works with adults facing stress, anxiety, depression, relationship concerns, parenting challenges, and issues connected to identity and LGBT experiences. She also supports people dealing with grief, eating and sleeping problems, attention difficulties, and questions about intimacy or career changes.
Her style is practical and conversational. She listens to how family roles and old expectations still affect day-to-day life. Sessions focus on noticing repeating patterns, trying new ways of relating, and building clearer communication. Marianne uses several approaches to help people find options that fit their lives.
She draws on Acceptance and Commitment Therapy to help people clarify values and take small steps toward them. Cognitive Behavioral Therapy is used to examine unhelpful thinking and test different behaviors. Emotionally-Focused Therapy and Dialectical Behavior Therapy techniques support clearer feelings work and emotion regulation when relationships and intense emotions are involved.
Marianne has worked across many settings for nearly three decades, bringing experience with multicultural and LGBTQ+ concerns. She speaks English and Spanish and accepts international clients. Her practice also addresses family of origin issues, adoption and foster care questions, blended family concerns, and caregiver stress.
To begin, she asks people to describe current struggles and goals. Work often combines focused skill practice with talking through how family patterns still show up. The emphasis is on practical changes that make everyday life feel more manageable.
How therapeutic approaches inform online sessions
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small, values-based steps. It is useful for anxiety, low mood, and decisions that feel stalled. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions and offers concrete experiments to test different behaviors. CBT is often used for worry, mood shifts, and sleep or eating difficulties. Emotionally-Focused Therapy (EFT) focuses on emotions in close relationships and helps people name feelings and practice new ways of responding when intimacy or communication is strained.Figuring out which approach fits is part of the work. The therapist will discuss goals, preferences, and daily demands to choose or combine methods. This is a collaborative process where adjustments are made as progress is tracked.
Confirm the exact session formats before booking as the biography does not list specific online options. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, and reduce travel time. For some people, not being on camera helps them focus; for others, a longer video session allows deeper conversation. Discuss practical arrangements and scheduling when you set up the first appointment.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
27+ years
Listed in
Illinois
Languages
English, Spanish
Frequently asked questions
What kinds of concerns does she address?
She helps adults with stress, anxiety, depression, relationship and parenting concerns, as well as family of origin issues and identity-related challenges.
How would you describe her therapeutic style?
Her style is conversational and practical, focusing on patterns from childhood and family roles and on changing everyday behaviors.
How much clinical experience does she have?
She has 27 years of experience working with adults in clinical settings and community contexts.
What are her credentials and where is she based?
She is an LCSW licensed in Illinois and practices with that license in the state.
Which languages are supported?
Sessions are offered in English and Spanish.
Does she work with clients outside the United States?
She accepts international clients; confirm time zones and scheduling when you arrange sessions.
How much do sessions cost and how are payments handled?
Cost varies by location; sessions use a subscription that can be canceled at any time.
What are the first steps to begin working together?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the emergency numbers. Looking for someone else? Find them by surname.