About Miriam
Miriam Matthews is a Licensed Independent Clinical Social Worker (LICSW) and a Licensed Clinical Social Worker (LCSW) with ten years of experience. She offers a warm, practical approach focused on what helps people feel steadier in day-to-day life. Her style emphasizes listening first and then working together to set clear, manageable steps.
She uses client-centered work to build on each person's strengths. Cognitive Behavioral Therapy (CBT) is part of her toolkit when thoughts and behaviors get in the way of feeling better.
How Miriam works
She also draws on solution-focused techniques to help people find immediate, practical changes that improve daily functioning. Miriam has experience across behavioral health, maternal support through the March of Dimes, child protective services, hospice, and geriatric care. That background informs how she notices both emotional needs and practical supports.
She often helps people connect with outside resources when daily life tasks become barriers to progress. Common concerns she addresses include anxiety, depression, trauma and abuse, self-esteem, grief, stress, and intimacy-related issues. Additional focus areas include caregiver stress, communication problems, feelings of emptiness, and issues related to prejudice and discrimination.
Miriam pays attention to how life changes and role shifts affect emotional well-being. In sessions she aims for clear goals and straightforward tools. Conversations are geared toward reducing overwhelm and building confidence in small steps.
Prospective clients in Virginia can expect a collaborative and goal-oriented approach.
Miriam lists 3 ways of working on the entry:
What Miriam works with
The areas below are the ones Miriam selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- 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
Training and background
| Registers | LICSW, LCSW |
|---|---|
| Years in practice | 10 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Virginia |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How client-centered care and CBT translate online
Miriam uses client-centered therapy to start by hearing what matters most to the person. This approach focuses on empathy, respect, and following the client’s lead to set goals that feel meaningful.Cognitive Behavioral Therapy (CBT) is used to spot unhelpful thoughts and habits and replace them with practical alternatives. CBT is useful for anxiety, depression, and stress when specific patterns are getting in the way of daily functioning.
Solution-focused techniques are about quick, actionable changes. They help people identify small steps that produce tangible improvements between sessions.
Finding the right approach is part of the work. Miriam treats the choice of methods as collaborative and adapts based on a client’s needs, goals, and preferences. She will discuss which tools might help most and adjust the plan over time.
Online therapy offers flexible ways to meet. Video calls work well for conversations that benefit from visual cues. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging allow for ongoing support between appointments and can fit into busy schedules. These options make it easier to keep therapy consistent while balancing life commitments.
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Common questions
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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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