About Karen
Karen Koski-Miller is a Maryland-based clinician who helps people manage stress and anxiety. She also supports those facing relationship strain, grief, and questions about career direction. She brings 15 years of experience to each conversation and aims to make reaching out feel less daunting.
Karen creates a calm, nonjudgmental space for people to talk through what matters most to them. Sessions focus on practical steps and clearer thinking so clients can make steady progress.
Background and approach
She encourages small changes that build confidence and motivation over time. Her work often centers on improving communication and coping skills. Clients explore patterns that keep them stuck and try new behaviors in the safety of sessions.
Forgiveness, midlife transitions, and workplace stress are common topics she addresses. Karen uses Cognitive Behavioral Therapy ideas to help people notice and change unhelpful thoughts and actions. She also draws on Motivational Interviewing to strengthen motivation and commitment to change.
Those approaches are tailored to each person’s goals rather than applied the same way to everyone. People who reach out will find a steady, encouraging presence focused on workable strategies. She explains options in plain language and helps plan realistic next steps.
The overall aim is clearer thinking, fewer overwhelm moments, and greater confidence in daily life.
How her approaches work online
Karen uses Cognitive Behavioral Therapy to help people notice thoughts that increase anxiety or stress and then test new ways of thinking and acting. CBT sessions focus on specific skills such as reducing avoidance, problem solving, and changing unhelpful thinking patterns.She also uses Motivational Interviewing to help people find their own reasons to change and build commitment. That approach is helpful when motivation feels low or when someone is unsure how to begin making changes.
Choosing the right approach is part of the work together. She evaluates a person's goals, challenges, and preferences and adapts methods accordingly. Clients and the therapist decide together which techniques feel most useful over time.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to provide flexibility. Video is useful for deeper conversations and visual cues, phone can be simpler when bandwidth is limited, live chat is handy for shorter check-ins, and text messaging supports ongoing reminders and brief reflections. These options make it easier to fit sessions into a busy life and keep momentum between meetings.
Questions people ask
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How much experience does she have?
What credentials and location are listed?
Which languages are supported and are international clients accepted?
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Grief
Also listed
Therapeutic approaches
- Experience
- 15 years
- Licensed
- Maryland
- Languages
- English
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