Rebekah Machiela, LCSW-C

Rebekah Machiela is a licensed clinical social worker who helps people facing stress, anxiety, grief, and relationship struggles. She brings a calm, warm presence and focuses on practical tools people can use day to day. Rebekah is based in Maryland and draws on 13 years of clinical experience to support coping with life changes, parenting challenges, and compassion fatigue.

She has extensive experience supporting people dealing with chronic illness, caregiver stress, and end-of-life issues. Aging and geriatric issues are among her additional focus areas, and she also works with concerns such as postpartum adjustment, cancer-related stress, and chronic pain. Rebekah pays attention to how health and life transitions affect mood, identity, and daily functioning.

In sessions she uses familiar therapy styles like client-centered work, cognitive behavioral techniques, narrative approaches, psychodynamic ideas, and solution-focused methods. That mix helps her tailor conversations and coping strategies to each person’s needs. Expect practical steps, communication skills practice, and time to reflect on personal patterns.

Rebekah emphasizes self-compassion and steady growth. She encourages clients to notice what’s working and try small changes that make life easier. Her approach is collaborative - she asks questions, listens carefully, and helps set goals and plans that fit real life.

If you’re managing illness, caregiving, aging-related concerns, or major life transitions, she aims to be a steady partner in figuring out next steps. The focus is on clear strategies, emotional support, and building sustainable coping skills.

How therapeutic approaches shape remote care

Client-Centered Therapy focuses on the person’s experience and priorities, with the therapist following the client’s lead and reflecting what matters most. It supports people who need a nonjudgmental space to make sense of change. Cognitive Behavioral Therapy, or CBT, breaks problems into thoughts, feelings, and behaviors and uses practical exercises to shift unhelpful patterns. CBT is often useful for anxiety, mood changes, and coping with illness.

Finding the right approach is part of the work together. The therapist will collaborate with each person to decide which methods fit their goals and preferences. That means trying strategies, checking what helps, and adjusting the plan as needs evolve.

The original biography does not list specific online session formats, so please confirm current options before booking. In general, online therapy can make it easier to fit sessions into a busy life, reduce travel time, and let people join from a place that works for them. Some formats can allow for shorter check-ins or sessions without a camera, which can help on days when energy or bandwidth is limited. Licensed professionals can offer the same kinds of therapeutic techniques online as they do in person, while adapting exercises and homework to a remote setting.