- Client-Centered Therapy
- Cognitive Behavioral Therapy
- Solution-Focused Therapy
About Miriam
Miriam Matthews is a Licensed Independent Clinical Social Worker (LICSW) and a Licensed Clinical Social Worker (LCSW) in Virginia with 10 years of experience. She works with adults around anxiety, depression, trauma and relationship concerns, including issues tied to guilt and shame. Miriam also supports people dealing with grief, stress, life changes, and struggles with self-esteem and intimacy.
She draws on client-centered practice to shape sessions around what each person brings. That means conversations start with the client's concerns and goals. Miriam uses solution-focused techniques to help identify small, practical changes a person can try between meetings.
Cognitive Behavioral Therapy (CBT) is part of her toolkit for people who want to connect thoughts, feelings and behaviors. She helps clients notice patterns that keep them stuck and test new ways of responding. Sessions can also include motivational interviewing to explore what matters most and build momentum for change.
Her background includes behavioral health, hospice care, work with the March of Dimes supporting women and babies, Child Protective Services, and geriatric care. That mix informs how she supports people with both emotional struggles and practical needs, such as finding resources or community supports.
Miriam frames therapy as collaborative and goal-oriented. She talks through next steps, offers practical skills, and follows the client's pace. People who carry guilt or shame often bring concrete situations or long-standing feelings, and she works with those topics directly and plainly.
How her approaches translate to online sessions
Client-Centered Therapy focuses on listening and following a person's lead. In practice she uses open questions and reflection to understand what matters most and to set goals together. This approach helps when guilt or shame feels overwhelming because it starts with the client's own priorities.Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors interact. Online sessions can include talking through examples, practicing thought records, and trying behavioral experiments between meetings to test new responses to shame or anxiety.
Solution-Focused Therapy concentrates on small, achievable steps toward clear goals. Sessions often identify what will look different in the near term and what the next small change might be to reduce strain or rebuild confidence.
Miriam treats finding the right approach as a collaborative process. She will review options with the client and decide together which tools and methods best fit the person's needs, goals, and preferences. That conversation is ongoing and can shift as work progresses.
Please confirm her current online session formats before booking, since the biography does not list specific modalities. Online therapy can make it easier to fit sessions around work, caregiving, or travel, and it can allow shorter check-ins or flexible scheduling when needed.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
Virginia, Massachusetts
Languages
English
Frequently asked questions
What kinds of concerns does she work with?
She works with relationship difficulties, trauma and abuse, self-esteem, depression, stress, anxiety, grief, intimacy issues, and related topics such as guilt and shame.
How does she approach guilt and shame in sessions?
She uses client-centered methods and solution-focused techniques to talk through feelings and practical steps. Cognitive Behavioral Therapy tools may be used to connect thoughts, feelings, and behaviors.
What is her professional background and experience?
She has 10 years of experience and has worked in behavioral health, hospice, Child Protective Services, geriatric care, and with the March of Dimes supporting women and babies.
What are her credentials and where is she based?
She holds MA LICSW and VA LCSW credentials and practices in Virginia.
Does she provide services in other languages or to international clients?
Sessions are offered in English. International clients are not currently accepted.
What session formats does she offer?
Please confirm current session options before booking, as formats were not specified in the biography.
How does payment or cost work?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select 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.