About Karen
Karen Koski-Miller helps people who are feeling overwhelmed by stress, anxiety, relationship strain, grief, low self-esteem, or career uncertainty. She supports those facing caregiver stress, communication problems, forgiveness challenges, midlife transitions, women's issues, and workplace concerns. Karen is a medical doctor and a Licensed Certified Social Worker in Maryland with 15 years of experience.
Her sessions are straightforward and focused. She creates space for people to talk about what matters without judgment.
How Karen works
Conversations aim to clarify goals and find practical steps that fit everyday life. Karen uses approaches that help people change unhelpful thoughts and build motivation for action. She listens for patterns that keep someone stuck and works with them to try different strategies.
Together they set small goals and measure what feels helpful. Appointments can include talking about recent events, rehearsing difficult conversations, or practicing new ways to respond under stress. She pays attention to how work, caregiving, and life transitions affect mood and relationships.
Progress is tracked in concrete ways like improved communication or reduced worry. People who choose Karen will find a direct, calm style and realistic plans for change. She supports each person at their own pace and helps them move toward clearer priorities and better coping.
Sessions are practical and aimed at everyday improvements.
Karen lists 2 ways of working on the entry:
What Karen works with
The areas below are the ones Karen selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Relationship issues
- Grief
Also listed
Training and background
| Registers | MD, LCSW-C |
|---|---|
| Years in practice | 15 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Maryland |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches and online access
CBT, or Cognitive Behavioral Therapy, focuses on identifying thoughts and behaviors that increase stress or anxiety and then testing new ways of thinking and acting. It is useful for worry, low self-esteem, and specific anxiety patterns and helps people try practical experiments to change how they feel.Motivational Interviewing is a collaborative, goal-oriented style that helps people find their own reasons to change. It supports building motivation for actions like setting career goals, resolving relationship tensions, or making life changes during midlife transitions.
Finding the right approach is part of the work. The therapist will talk with each person about goals, preferences, and what has helped or not helped in the past. Together they pick strategies and adjust them over time so the plan feels useful and realistic.
Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Video calls allow face-to-face conversation; phone sessions can fit into a work break or use less bandwidth. Live chat and text messaging work well for brief check-ins, follow-up, or when someone prefers writing. These options make it easier to work on stress, anxiety, relationships, and career concerns without rearranging an entire day.
Start online instead of waiting
Our partner service asks a few questions about what you are looking for and matches you with a therapist for sessions from home.
Book with KarenWe will earn a commission if you sign up through our link, at no cost to you.
Common questions
What concerns does Karen commonly address?
How would you describe her therapeutic style?
What is her professional background?
Where does this therapist practice?
Which languages are supported for sessions?
What session formats are available?
How is cost handled for sessions?
How do I begin working with this therapist?
A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
We will earn a commission if you sign up through our link, at no cost to you. Entries are not assessed or endorsed by this directory.
Other entries for stress, anxiety
Supportive LCSW helping people build strength and clarity
Practical, trauma-aware therapy for everyday life
Practical, relational therapy for life transitions