Rebekah Machiela

Rebekah Machiela is a licensed clinical social worker who helps people manage stress, anxiety, grief, and life transitions. She works with individuals facing relationship and intimacy concerns, parenting challenges, compassion fatigue, and issues tied to chronic illness and caregiving. Rebekah brings 13 years of clinical experience in Maryland to her practice and offers a calm, listening presence.

Her approach is warm and empathetic. Sessions focus on the client's story and what they want to change. She uses practical tools to build coping skills and improve communication. Expect straightforward conversations that lead to concrete strategies you can use between meetings.

Rebekah often draws on client-centered work, cognitive behavioral techniques, and narrative ideas to help people reframe difficult experiences. She also integrates psychodynamic and solution-focused elements when they serve the client's goals. These methods are used to address grief, caregiver stress, postpartum adjustment, and end-of-life concerns among other issues.

Her background includes years providing counseling in medical hospital settings, which informs her work with people facing cancer, chronic pain, and aging-related challenges. She helps people cope with guilt, shame, codependency, and family of origin problems while encouraging self-compassion and growth.

People who choose Rebekah can expect a collaborative process. She emphasizes self-awareness, reflection, and practical steps toward healthier coping. If you are new to therapy or returning to counseling, she aims to support you as you work toward your goals.

How therapy approaches guide online care

Client-centered work puts the person and their goals at the center of each session, with the therapist listening closely and following the client's priorities to guide conversation and change. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and behaviors and practicing small changes that reduce anxiety and improve mood. Narrative Therapy helps people separate themselves from difficult stories, rewrite how they view a problem, and find new meaning in stressful or painful experiences.

Finding the right approach is a collaborative process. The therapist will discuss options and tailor methods to fit the client's needs, goals, and preferences. Together they decide which techniques to try and adjust the plan as progress happens.

Session logistics should be confirmed before booking, since current session formats are not listed here. Online therapy can make it easier to fit counseling into a busy life by reducing travel time, allowing for shorter check-ins, or letting someone join from a location with quieter surroundings. Talk with the therapist about what would work best so sessions can be arranged to match daily routines and practical needs.