LM Portrait of Dr. Lori Malkasian

Dr. Lori Malkasian, LMFT

Calm, practical support for anxiety and life change

20 years in practice · based in South Carolina · sessions in English · online sessions

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About Lori

Dr. Lori Malkasian is a licensed marriage and family therapist with a Doctor of Psychology in counseling and two decades of practice. She focuses on helping people manage stress, anxiety, parenting challenges, depression, and life transitions.

Her approach is practical and straightforward, aimed at giving families and individuals tools they can use right away. She listens first to understand what feels most urgent. Then she and the client pick strategies that fit daily life.

Book with Lori Now Review online therapy options and next steps.

Background and approach

Sessions cover things like mood shifts, anger, grief, relationship strain, and problems with attention or impulsivity. Conversations are plainspoken and goal-oriented so people leave with clear next steps. Dr.

Malkasian draws on several commonly used approaches to match the work to each person. Cognitive Behavioral Therapy helps identify and change unhelpful thinking and behavior patterns. Client-Centered work focuses on understanding each person’s perspective and building on their strengths.

She also uses Emotionally-Focused and Narrative ideas when exploring how emotions and personal stories shape relationships and choices. Her background includes many years supporting people facing adoption and foster care concerns, blended family issues, and the fallout from trauma or disaster. She also assists those coping with addictions, compassion fatigue, and career or financial stress.

Sessions are available in English and can be scheduled across time zones. People use video calls, phone sessions, live chat, or text-based messaging depending on what fits their life. Getting started begins with a short matching questionnaire and scheduling a first session.

How therapeutic approaches work online

Client-Centered Therapy centers on the person's own experience and strengths. The therapist listens deeply and helps people name their goals and build on what already works for them, which can be useful for anxiety, parenting stress, and life changes.

Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions. In sessions clients learn concrete tools to shift unhelpful thinking and test new behaviors, a helpful fit for worry, depression, and attention-related struggles.

Finding the right approach is part of the work together. The therapist will discuss options, try techniques, and adjust plans based on how a client responds. That collaborative process helps tailor the work to each person’s goals and daily routine.

Online therapy offers practical flexibility. Video calls allow face-to-face conversation and screen-sharing for worksheets. Phone sessions can fit into a short break and need less bandwidth. Live chat and text-based messaging let people check in between sessions or choose a quieter, lower-effort way to share thoughts. These options make it easier to keep therapy consistent while juggling school, work, or caregiving.
Book with Lori Now Review online therapy options and next steps.

Questions people ask

What kinds of concerns does this therapist address?
Dr. Malkasian works with a wide range of concerns including stress, anxiety, parenting challenges, depression, trauma, grief, anger, ADHD, relationship and family issues, and addictions.
How would you describe the therapy style?
The style is direct and practical. Sessions focus on understanding problems, setting clear goals, and trying strategies that fit everyday life.
What is Dr. Malkasian's background?
She holds a Psy.D. in counseling and brings 20 years of clinical experience to her work with individuals and parents facing a variety of life stresses.
Where is the therapist licensed and based?
She is licensed as a marriage and family therapist in South Carolina and practices from that state.
In which languages can I meet with the therapist?
Sessions are offered in English, and international clients are accepted.
What formats are available for sessions?
Appointments can be held via video calls, phone sessions, live chat, or text-based messaging to match different needs and schedules.
How is cost handled for therapy?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with this therapist?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

What this therapist works with

Most often

Experience
20 years
Licensed
South Carolina
Languages
English

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