About Rebekah
Rebekah Machiela helps people facing stress, anxiety, grief, relationship strain, parenting challenges, and life transitions. She is Rebekah Machiela, MD, LCSW-C, and she offers calm, direct support for people feeling overwhelmed by change or loss. Her style is warm and approachable.
She listens first and follows the person's lead to understand what matters most. Sessions focus on practical skills for coping, clearer communication, and small steps toward goals. Rebekah draws on several therapy approaches to guide sessions.
How Rebekah works
She uses client-centered work to follow each person's priorities. Cognitive Behavioral Therapy is used to identify thoughts and behaviors that get in the way. Narrative and psychodynamic ideas help untangle patterns that come from past experiences.
Her background includes 13 years of clinical experience and work in medical settings. That experience informs care for people managing chronic illness, pain, cancer, caregiving stress, hospice and end-of-life issues, and postpartum concerns. She also supports those dealing with codependency, narcissism, guilt, and shame.
Sessions can address family of origin issues, communication problems, intimacy-related concerns, and rebuilding self-esteem. Rebekah encourages self-compassion and reflection while helping people develop clear coping tools. She aims to make therapy useful and manageable for everyday life.
Rebekah lists 5 ways of working on the entry:
What Rebekah works with
The areas below are the ones Rebekah 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
- Aging and geriatric issues
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Intimacy-related issues
- Narcissism
- Parenting issues
- Postpartum depression
- Pregnancy and childbirth
- Self esteem
- Self-love
Training and background
| Registers | MD, LCSW-C |
|---|---|
| Years in practice | 13 |
| 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
Approaches that guide online sessions
Client-Centered Therapy focuses on listening and following what matters most to the person. It helps when someone needs acceptance, space to tell their story, and guidance that starts from their goals.Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions. It teaches concrete skills to reduce anxiety, manage depression, and change unhelpful behavior patterns.
Finding the right approach is a collaborative process. The therapist will talk with the person about goals, preferences, and what has worked before. Together they decide which methods to emphasize and adjust that plan as progress is made.
Online sessions are offered by licensed professionals using video calls, phone sessions, live chat, or text-based messaging. Video calls let people work face-to-face when they want deeper connection. Phone sessions can be easier when a quieter environment or lower bandwidth is needed. Live chat and text are useful for quick check-ins, shorter reflections, or people who prefer typing over speaking.
These formats make therapy easier to fit into busy schedules and offer flexibility while keeping the focus on practical tools and steady progress.
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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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