About Marian
Marian Howard is a licensed mental health counselor (LMHC) practicing in Massachusetts. She brings 20 years of experience to sessions and focuses on practical ways to reduce anxiety, manage mood swings, and cope with life changes. She uses a client-centered stance to create a calm, respectful space.
That means the conversation follows the person's needs and goals. Marian pairs this with Cognitive Behavioral Therapy to spot unhelpful thought patterns and Dialectical Behavior Therapy skills to manage intense emotions and sudden crisis moments.
How Marian works
Marian addresses a broad range of concerns including stress, depression, bipolar symptoms, trauma and abuse, addictions, grief, and ADHD. She also helps people dealing with intimacy-related issues, parenting strain, anger, low self-esteem, and compassion fatigue. Additional areas include abandonment, caregiver stress, communication problems, and social anxiety.
Sessions aim to build self-awareness and practical skills. People work on clearer communication, healthier boundaries, and steps to reduce panic or overwhelming stress. Marian emphasizes small, doable changes that add up over time.
She offers multiple online formats so people can choose what fits their life. International clients may be supported in English. To begin, users follow the site's matching steps and schedule sessions as available.
Marian lists 3 ways of working on the entry:
What Marian works with
The areas below are the ones Marian selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- ADHD
- Anger management
- Bipolar disorder
- Caregiver issues and stress
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Self esteem
- Self-love
- Social anxiety and phobia
- Women's issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 20 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Massachusetts |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How these approaches translate to online therapy
Marian uses client-centered therapy to guide sessions around the person’s priorities. That approach focuses on listening, empathy, and adjusting pace to what the person needs, which works well over video or phone when the conversation needs to be flexible.Cognitive Behavioral Therapy, or CBT, helps identify and change unhelpful thoughts and behaviors. It often includes simple worksheets and experiments people can complete between sessions, which adapt easily to messaging or live chat formats.
Dialectical Behavior Therapy, or DBT, teaches concrete skills for managing strong emotions and reducing impulsive reactions. Skills practice, grounding exercises, and short coaching-style check-ins can be delivered by phone, text, or video to reinforce progress.
Picking the right approach is collaborative. The therapist will talk through goals, try methods that fit the issue, and adjust based on what proves most helpful. Clients are invited to give feedback so sessions stay focused on real-life progress.
Online therapy offers practical benefits like fitting sessions around work, reducing travel time, and choosing lower-bandwidth options such as phone or text when video is difficult. Video allows face-to-face interaction, phone can be a quicker check-in, and messaging supports ongoing skill practice between sessions.
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.
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Common questions
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What are the first steps to begin therapy?
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.
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