About Marian
Marian Howard is a licensed mental health counselor with 20 years of clinical experience. She focuses on helping people manage anxiety, stress, depression, and addiction. Her style is straightforward and caring, aimed at making therapy feel practical and doable.
Marian uses approaches that center the person in the room. She listens for what matters most, then helps clients set small, clear goals. Sessions often include tools for managing panic, reducing worry, and coping with life changes.
Background and approach
She draws on cognitive behavioral techniques to identify unhelpful thoughts and try new ways of responding. Dialectical behavior ideas are used when emotions feel overwhelming, with step-by-step skills for managing intense moments. Client-centered work shapes the pace and direction based on each person's priorities.
Marian also helps people who struggle with grief, relationship and intimacy concerns, caregiver stress, and issues around self-worth. She pays attention to patterns like control, guilt, and isolation so clients can make concrete changes that fit their lives. Practicing in Massachusetts, Marian offers therapy in English and accepts international clients.
She provides video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
Approaches that translate well to online therapy
Client-Centered Therapy focuses on listening and following the client's lead. The therapist creates space for people to say what matters and helps them set the pace and goals that feel right. Cognitive Behavioral Therapy, or CBT, looks at thoughts and behaviors that keep problems going and offers clear, practical exercises to try different responses. It is often used for anxiety, panic, depression, and worry. Dialectical Behavior Therapy, or DBT, teaches specific skills for handling strong emotions, improving relationships, and tolerating distress without making things worse.Choosing the right approach is usually a team effort. Marian will work with each person to decide which methods fit their goals, needs, and daily life. Initial sessions are used to understand the problem, try a few techniques, and adjust the plan as needed.
Online therapy offers several practical benefits. Video calls allow for face-to-face conversation when meeting in person is difficult. Phone sessions can be helpful when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging make it easier to fit therapy into a busy day or to check in between appointments. These options give flexibility so people can participate in ways that match their routines and comfort.
Questions people ask
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What this therapist works with
Also listed
- Abandonment
- ADHD
- Anger management
- Bipolar disorder
- Caregiver issues and stress
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Self esteem
- Self-love
- Social anxiety and phobia
- Women's issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Massachusetts
- Languages
- English
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