About Marianne
Marianne Costales-Roman is a licensed clinical social worker with 27 years of practice in Illinois. She focuses on anxiety, stress, depression, and challenges tied to identity and relationships. She works in both English and Spanish and accepts international clients.
Her sessions aim to be affirming and culturally aware. She listens for what matters most to each person and helps them name priorities. Conversations cover practical steps such as better sleep, reduced worry, clearer boundaries, and coping strategies for work or parenting strain.
Background and approach
Marianne blends several approaches to match a person's needs. She uses skills-based methods to reduce overwhelming feelings and reflective approaches to understand relationship patterns. That mix lets her address symptoms and the life events that keep them going.
Clients can expect straightforward tools and gentle reflection. Marianne helps people practice new ways of handling anger, improve communication, and manage grief or trauma reactions. She also supports people working on self-esteem, body image, and career transitions.
Her background includes long experience with LGBTQ issues, blended family concerns, adoption and foster care matters, and caregiving stress. Marianne draws on decades of clinical work to tailor sessions to each person's goals and pace.
How therapeutic approaches translate to online care
Acceptance and Commitment Therapy, or ACT, focuses on noticing difficult thoughts and feelings without getting stuck in them. It helps people move toward what matters to them while using small, doable steps to reduce avoidance and build values-based action. Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and behaviors interact and teaches concrete strategies to change unhelpful patterns. It is often used for anxiety, sleep problems, and low mood because it gives clear tools to practice between sessions.Finding the right approach is part of the work. Marianne will collaborate with each person to decide which methods fit their goals and preferences. She adapts techniques over time, combining skills practice and deeper reflection so the plan matches real-life needs and leads to usable changes.
Online sessions offer practical flexibility. Video calls allow face-to-face conversation and visual cues, phone sessions can be easier when bandwidth is limited, and live chat or text-based messaging can support short check-ins or ongoing coaching between appointments. These options make it easier to fit therapy into work, school, or caregiving schedules while keeping momentum between visits.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- LGBT
- Parenting issues
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Anger management
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Dissociation
- Divorce and separation
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Immigration issues
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Money and financial issues
- Multicultural concerns
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 27 years
- Licensed
- Illinois
- Languages
- English, Spanish
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