- grief and loss
- relationship skills
- guilt and shame
About Rebekah
Rebekah Machiela is a Licensed Certified Social Worker with clinical authorization in Maryland and has 13 years of experience in counseling. She works with people facing stress, anxiety, grief, relationship strain, low self-esteem, parenting challenges, and compassion fatigue. She also lists support for guilt and shame among her focus areas.
Rebekah draws on a mix of practical therapy styles to guide conversations and teach coping skills. She uses clear communication strategies to help people manage relationship problems and to approach difficult life transitions. Sessions focus on understanding what led to current feelings and building small, usable steps forward.
Her background includes longtime work in medical settings, where she supported people living with chronic illness, cancer, and end-of-life concerns. That experience informs how she talks about caregiver stress and hospice-related issues, and how she frames discussions about grief and medical change.
Rebekah often blends Client-Centered and Cognitive Behavioral techniques with Narrative and Solution-Focused ideas. That means she listens for the person’s priorities, examines unhelpful thoughts, and helps shift practical patterns that get in the way of daily functioning. Conversations can include reflection on family of origin, codependency, or communication habits when those topics are relevant.
People meeting her can expect straightforward, paced sessions that aim to make emotional problems more manageable. She asks questions, offers tools, and practices new ways of handling situations in session. If you want to begin, follow the site steps to match and schedule a first appointment.
How her approaches translate to online sessions
Client-Centered Therapy focuses on listening to the person’s priorities and reflecting what matters to them. It helps when someone needs to sort out feelings and clarify what they want from therapy.Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors that keep problems going and teaches concrete techniques to change them. It is often used for anxiety, low mood, and managing unhelpful thinking patterns.
Finding the right approach is part of the work. She will collaborate with each person to choose methods that match their goals, needs, and preferences. That may mean trying a few techniques to see what fits best.
Session formats are not specified in the biography, so confirm current options before booking. In general, online sessions can make it easier to fit therapy into a busy day, allow quicker check-ins when needed, and reduce time spent traveling to appointments. Licensed professionals can use conversation, skill practice, and written exercises in virtual sessions to support progress without asking for a particular in-person arrangement.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
13+ years
Listed in
Maryland
Languages
English
Frequently asked questions
What kinds of concerns does she work with?
She works with stress, anxiety, grief, relationship issues, low self-esteem, parenting challenges, compassion fatigue, and related concerns including guilt and shame.
How does she approach feelings of guilt or shame?
She uses a mix of talk-based approaches to name the feelings, look at the stories behind them, and try practical steps to reduce their grip on daily life.
What is her clinical background and experience?
She has 13 years of clinical experience, including extensive work in medical hospital settings supporting people with chronic illness, cancer, and end-of-life care.
Which credential and location apply to her practice?
She is an LCSW-C in Maryland and provides services from that jurisdiction.
Does she work in languages other than English?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions scheduled and what does payment look like?
Cost varies by location and sessions use a subscription that can be canceled at any time.
What do I do to start a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.