- Family of origin
- Grief and loss
- CBT and narrative
About Rebekah
Rebekah Machiela is a Licensed Clinical Social Worker-Clinical (LCSW-C) practicing in Maryland with 13 years of experience. She works with stress, anxiety, relationship concerns, grief, self-esteem, parenting challenges, depression, compassion fatigue, and family-related issues including family of origin concerns.
She previously worked in medical hospital settings, which shaped how she supports people facing illness, caregiving roles, end-of-life decisions, and chronic pain or disability. Rebekah often helps people manage postpartum adjustment, pregnancy and childbirth concerns, and the emotional strain that comes with cancer or hospice situations.
Her approach blends clear conversation with practical tools. She draws on client-centered methods to follow each person’s lead. She also uses cognitive behavioral techniques to identify thoughts and behaviors that get in the way of daily functioning.
Narrative and psychodynamic ideas are part of how she helps people understand patterns that began in childhood or family life. Solution-focused work is used for short-term goals and concrete changes in communication and routines.
Sessions typically look like talking through recent problems, practicing communication strategies, and trying small behavioral experiments between meetings. Rebekah emphasizes learning coping skills, reducing overwhelming feelings, and increasing self-acceptance. She asks new clients to describe what they want to change and then builds a plan together.
Language offered is English and she does not accept international clients. Cost varies by location and sessions use a subscription that can be canceled at any time. To begin, select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
How her approaches work for online sessions
Rebekah draws on client-centered therapy to follow what matters most to the person in front of her. That approach focuses on listening, reflecting what comes up, and shaping sessions around the client’s priorities. It is helpful for people who want support naming and sorting feelings.Cognitive Behavioral Therapy (CBT) is used to identify unhelpful thought patterns and try concrete changes. CBT often includes small exercises to practice between sessions and can help with anxiety, low mood, and problems that affect daily routines.
Narrative therapy supports looking at the stories people tell about themselves and their families. It can be useful for family of origin concerns and for changing how past patterns influence current behavior.
Choosing the right approach is part of the work together. The therapist will collaborate with the client to decide which methods fit their goals and preferences. That decision can change over time as needs shift.
The original biography does not specify which session formats are offered for remote work, so confirm formats before booking. Online sessions can make it easier to fit therapy into a busy life, require less travel time, and allow for shorter or more focused check-ins when needed. Many people find this flexibility helps them maintain consistency while addressing family patterns and stress.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
13+ years
Listed in
Maryland
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, relationship issues, grief, self-esteem, parenting concerns, depression, compassion fatigue, and family of origin issues among other topics.
How would you describe her therapeutic style?
She uses a conversational, client-centered approach combined with practical techniques from cognitive behavioral, narrative, psychodynamic, and solution-focused therapies.
How much clinical experience does she have?
She has 13 years of clinical experience, including work in medical hospital settings supporting people facing illness, caregiving, and end-of-life issues.
What are her credentials and where is she based?
She is an LCSW-C in Maryland and practices with that credential in the state.
Are sessions offered in other languages or internationally?
Sessions are offered in English and she is not accepting international clients.
What session formats are available?
The original biography does not list specific session formats; please confirm current session options before booking.
How does cost work for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What are the first steps to get started?
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.