- Client-Centered Therapy
- CBT techniques
- DBT skills
About Marian
Marian Howard is an MA, Licensed Mental Health Counselor (LMHC) practicing in Massachusetts with 20 years of clinical experience. She works with adults facing stress, anxiety, addictions, trauma and abuse, bipolar disorder, depression, grief, and intimacy-related issues. Marian also addresses parenting strain, anger, low self-esteem, ADHD, and the particular burdens of guilt and shame.
She uses clear, direct conversation in sessions. Marian draws on Client-Centered Therapy to follow what each person brings, Cognitive Behavioral Therapy (CBT) to spot unhelpful thinking and try different behaviors, and Dialectical Behavior Therapy (DBT) skills for managing intense emotions and impulses. She helps people name patterns that keep them stuck and practice new ways of coping.
Her work often focuses on the fallout from abandonment, control struggles, communication problems, and the stress of caregiving. Marian also supports those dealing with panic attacks, post-traumatic stress, social anxiety, and life changes like divorce or separation. She pays attention to how shame and guilt affect relationships and daily choices.
With two decades of experience, Marian blends practical skill-building with steady, person-focused attention. She encourages small experiments between sessions so people can test what feels different in real life. Sessions are conducted in English, and she accepts international clients; confirm current session options before booking.
To begin, a short matching questionnaire is used to connect clients with her practice, then a first session is scheduled. Costs vary by location and use a subscription that can be canceled at any time.
How Marian’s approaches translate to online work
Client-Centered Therapy puts the person’s experience first and focuses on clear listening and reflection; online sessions can keep that same conversational focus while tracking what matters most to the client. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and uses short exercises to test new reactions, which adapts well to remote sessions through homework and real-time practice. Dialectical Behavior Therapy (DBT) teaches concrete skills for emotion regulation, distress tolerance, and interpersonal effectiveness that can be practiced between appointments and reviewed during sessions.Finding the right approach is part of the work. Marian will talk with each person about goals, symptoms, and preferences, and together they decide which methods fit best. That collaborative planning can shift as needs change, with a mix of talk and skills practice tailored to what helps most.
The biography does not list specific online session formats, so confirm current options before booking. In general, online sessions can make it easier to fit therapy into a busy week, allow brief check-ins when needed, and let people try skills in real-life settings between meetings. Licensed professionals can use those practical benefits to focus on symptom management, habit changes, and improving emotional responses without promising any particular outcome.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
Massachusetts
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, addictions, trauma and abuse, bipolar disorder, depression, grief, and intimacy-related issues, among other concerns.
How does she approach guilt and shame?
She helps people identify how guilt and shame show up, then uses CBT and DBT skills to change unhelpful thoughts and manage strong emotions.
What is her background and experience?
Marian has 20 years of clinical experience helping adults with a range of mental health and life-change concerns.
What are her credentials and where is she based?
She holds an MA and is a Licensed Mental Health Counselor (LMHC) practicing in Massachusetts.
Does she work in languages other than English or with international clients?
Sessions are offered in English and she accepts international clients.
What session formats are offered?
The original biography does not list specific session formats; confirm current session options before booking.
How is cost handled?
Costs vary with location and sessions use a subscription that can be canceled at any time.
What is the first step to get started?
Use the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.