About Marianne
Marianne Niles is a licensed counselor with more than 31 years of experience supporting people through stressful and painful life chapters. She focuses on anxiety, depression, relationship concerns, trauma and abuse, and help with major life changes. Marianne aims to make therapy straightforward and practical for someone feeling overwhelmed.
She uses clear conversation and step-by-step strategies to help people manage stress and emotional pain. Sessions emphasize learning coping tools, improving communication, and slowing down to process difficult feelings.
Background and approach
Marianne helps clients notice patterns that keep problems repeating and then practices alternatives together. Her work includes support for people dealing with chronic illness, caregiver strain, grief around cancer, and the effects of adoption or family of origin issues.
She also addresses challenges such as codependency, avoidant or dependent personality patterns, eating and food-related struggles, and the fallout from divorce or domestic violence. Marianne draws on evidence-based therapeutic techniques to guide treatment choices that match a person’s needs. She treats each person as an individual and co-creates a plan focused on achievable goals.
Her style is calm, steady, and focused on practical change. Clients meet with her by phone, video, live chat, or text messaging. She practices in Virginia and conducts sessions in English.
Getting started begins by using the site’s matching steps and scheduling a time that works for the client.
How evidence-based methods work with online care
Marianne uses evidence-based therapeutic techniques that focus on practical change and emotional processing. One approach emphasizes learning coping skills and behavioral strategies to reduce anxiety and manage stress. This helps people build routines and small habits that lower day-to-day distress.Another approach centers on talking through painful memories and current relationship patterns to reduce their hold on daily life. That work helps people recognize repeating patterns and practice different responses in real time with support.
Choosing the best approach is a collaborative process. The therapist will listen to your goals and preferences, then recommend techniques to try together. You and the therapist can adjust the plan as you learn what helps most.
Online sessions are offered by video call, phone, live chat, or text-based messaging, giving flexible ways to keep therapy part of a busy life. Video offers face-to-face conversation for skills practice and deeper emotional work. Phone sessions can be a good option when bandwidth is limited or a simpler check-in is needed. Live chat and text messaging allow brief check-ins and ongoing support between longer sessions. These options make it easier to fit therapy into work, caregiving, or health-care schedules without extra travel.
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Adoption and foster care
- Aging and geriatric issues
- Avoidant personality
- Blended family issues
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Family of origin issues
- Family problems
- Fertility issues
- Forgiveness
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Seasonal Affective Disorder (SAD)
- Self-harm
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Experience
- 31 years
- Licensed
- Virginia
- Languages
- English
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