Rebekah MachielaLCSW-C

Rebekah Machiela is a licensed clinical social worker who helps people facing stress, anxiety, grief, relationship strain, and parenting concerns. She is also experienced supporting people with postpartum depression, pregnancy and childbirth related issues, caregiver fatigue, and the emotional toll of chronic illness. Rebekah works from a warm, conversational stance and aims to make the first step into counseling feel manageable.

She brings 13 years of experience working in medical settings in Maryland and has spent much of that time helping people cope with life transitions and medical or end-of-life challenges. That background shapes how she listens for practical needs and emotional meaning at the same time. Sessions usually focus on building coping skills, improving communication, and making sense of difficult experiences.

Rebekah uses a mix of approaches chosen to fit each person’s situation. She draws on client-centered methods to follow the client’s lead, cognitive behavioral techniques to address thinking and behavior patterns, and narrative and psychodynamic ideas to look at personal stories and recurring themes. Solution-focused methods are used when people want clear goals and brief strategies.

Her style is empathetic and collaborative. Rebekah helps people set realistic steps and practice new skills between sessions. She encourages self-compassion while helping clients work toward clearer priorities and better day-to-day coping.

If someone is ready to begin, they can use the site Start Therapy button to complete a short matching questionnaire and schedule according to her availability.

How therapeutic approaches guide online care

Client-Centered Therapy focuses on following a person's concerns and priorities, offering empathic listening and support that helps people feel understood and decide their next steps. Cognitive Behavioral Therapy, or CBT, looks at patterns of thinking and behavior and uses straightforward exercises to reduce anxiety, improve mood, and change unhelpful habits. Narrative Therapy helps people examine the stories they tell about themselves and gently reframe those stories to make room for different choices and perspectives.

Finding the right approach is part of the work. The therapist will talk with each person about goals, preferences, and what feels most useful, and then adapt methods as progress is made. That collaborative process helps match techniques to what actually helps in day-to-day life.

Confirm current session options before booking since specific online formats are not listed in the biography. In general, working with a licensed professional online can make it easier to fit counseling into a busy schedule, allow for shorter check-in conversations when needed, and avoid travel time. Some people find online sessions helpful for practicing communication skills or managing anxiety between medical appointments, while others appreciate being able to schedule around caregiving or work shifts.