- Practical coping steps
- Goal-oriented approach
- Workplace wellbeing
About Karen
Karen Koski-Miller is a licensed clinical social worker with 15 years of experience helping people manage stress, anxiety, relationship concerns, grief, self-esteem, and career questions. She focuses on practical steps people can use right away. Karen aims to create an open, nonjudgmental space where clients can speak honestly about what matters to them.
Her style is collaborative and straightforward. She listens for what’s causing strain and works with each person to set small, achievable goals. Sessions often include talking through patterns of thinking and behavior and trying out new ways of coping between meetings.
Karen uses Cognitive Behavioral Therapy to identify unhelpful thoughts and shift responses that undermine wellbeing. She also draws on Motivational Interviewing to help people find internal reasons to change and build momentum toward goals. These methods are practical and goal-focused, and they fit many work and wellbeing challenges.
Many people come to her for help with workplace stress, communication problems, caregiver strain, and midlife transitions. She also supports those dealing with forgiveness, women’s issues, and the aftermath of loss. Karen is based in Maryland and holds the LCSW-C credential.
To begin, she asks people to reflect on what they want to change and what’s realistic right now. That helps shape a plan that suits the client’s daily life and work commitments. Sessions emphasize clear steps and steady progress rather than quick fixes.
How Karen uses CBT and Motivational Interviewing online
Karen uses Cognitive Behavioral Therapy to help clients notice thinking patterns that increase stress or anxiety and to test new, more helpful responses. CBT sessions often include short exercises and practical tasks to try between meetings, which can be useful for work-related stress and self-esteem concerns.She also uses Motivational Interviewing to guide people toward changes they truly want. This approach focuses on clients' own goals and reasons for change, helping build commitment and small steps forward when motivation feels low.
Choosing the right approach is a collaborative process. Karen works with each person to learn what feels most useful and adjusts methods as goals evolve. She balances goal-setting with listening so plans match work schedules and daily responsibilities.
The practical benefits of online therapy can include fitting sessions around work hours and keeping momentum between meetings. Because session formats are not specified in the biography, confirm the available session options before booking. Online therapy can make it easier to attend regular appointments and apply what is learned in real life, especially for workplace wellbeing and caregiver stress.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
15+ years
Credentials
Maryland
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She helps people with stress, anxiety, relationship concerns, grief, self-esteem, and career issues. Additional focus areas include caregiver stress, communication problems, forgiveness, midlife crisis, women’s issues, and workplace issues.
How would you describe her approach in sessions?
Her approach is collaborative and practical, focusing on clear steps and achievable goals. She creates a nonjudgmental space and works with clients to try new strategies between meetings.
What is her professional background?
She has 15 years of professional experience working with people on stress, motivation, grief, and work-related concerns. That experience shapes a practical, goal-focused style.
What credentials and location are listed?
She holds the LCSW-C credential in Maryland and practices from that state.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are not currently accepted.
How are fees and billing handled?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What are the first steps to begin therapy?
Select the Start Therapy button, complete a short matching questionnaire, and schedule a session according to therapist availability.