About Miriam
Miriam Matthews is a Licensed Independent Clinical Social Worker (LICSW) and a Licensed Clinical Social Worker (LCSW) practicing in Virginia. She focuses on anxiety, depression, trauma, and relationship concerns. Her style is warm and direct, aiming to help people feel steadier and more in charge of day-to-day life.
She uses client-centered methods to make sessions about each person's goals. Cognitive Behavioral Therapy helps when thoughts fuel worry or low mood.
Background and approach
Solution-Focused Therapy is used to set small, practical goals that build momentum. Matthews draws on a decade of work in behavioral health, hospice care, child protective services, and programs supporting maternal and infant health. That background informs how she connects emotional care with practical supports when needed.
She aims to spot both cognitive patterns and real-life barriers that get in the way of change. In sessions she often combines listening with clear steps. People can expect conversations about patterns, tools to manage stress and anxiety, and short-term goals to test what helps.
She also addresses issues such as grief, caregiver strain, feelings of emptiness, and challenges tied to identity or discrimination. Miriam works with adults navigating life changes, relationship challenges, and recovery after abuse. She offers appointments by video call, phone, live chat, or text messaging.
Sessions use a subscription that can be canceled at any time, and she provides care in English in Virginia.
Approaches that translate to online care
Miriam uses client-centered work to keep sessions focused on each person's goals and values. In an online session this means the conversation is shaped by what matters most to the client, with the therapist following the client's lead to set priorities and pace.Cognitive Behavioral Therapy is used to identify unhelpful thought patterns and practice alternative ways of thinking and acting. Online CBT sessions often include brief exercises, thought records, and homework that can be shared between meetings to track progress on anxiety and depression.
Solution-Focused Therapy helps people pick small, concrete steps toward change and notice what works. That short-term, goal-oriented approach fits well with remote care because it emphasizes doable actions and quick feedback between sessions.
Finding the right mix of methods is part of the work. The therapist will collaborate with the client to choose which approach or combination best fits their needs, goals, and preferences, adjusting as progress is made.
Practical benefits of online therapy include easier scheduling and fewer travel needs. Video calls let people read tone and facial cues, phone sessions can work when bandwidth is limited, and live chat or text messages are useful for quick check-ins or shorter exchanges. These options make it easier to keep therapy consistent while fitting it into a busy life.
Questions people ask
What concerns does she help with?
How does she approach therapy?
What is her professional background?
What credentials and location does she hold?
Which languages are supported for sessions?
Can international clients work with her?
What formats are available for sessions?
How does pricing and scheduling work?
What this therapist works with
Most often
- Relationship issues
- Trauma and abuse
- Self esteem
Also listed
- Abandonment
- Caregiver issues and stress
- Communication problems
- Coping with life changes
- Depression
- Emptiness
- Family conflicts
- Family problems
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Prejudice and discrimination
- Self-love
- Sexual assault and abuse
- Stress, Anxiety
- Women's issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- Virginia, Massachusetts
- Languages
- English
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