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Karen Koski-Miller

Karen Koski-Miller

LCSW-C

Maryland

Practical, collaborative support for life transitions

Continue with Karen

At a glance

Credentials
LCSW-C
License
LCSW-C, Maryland / 12513
Experience
15 years
Languages
English
Location
Maryland

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

    • Motivational Interviewing
    • CBT focus
    • Maryland based LCSW-C

    About Karen

    Karen Koski-Miller is a licensed clinical social worker in Maryland who helps people manage stress, anxiety, relationship strain, grief, and challenges with self-esteem and career direction. She brings 15 years of experience to sessions and focuses on practical steps that can make daily life easier. She aims to create a calm space where clients can speak honestly without fear of judgment.

    Her approach emphasizes collaboration and real choices. She uses Motivational Interviewing to help people find their own reasons to change and to build momentum toward goals. She also uses Cognitive Behavioral Therapy to identify and shift unhelpful thinking and behavior patterns that keep problems going.

    In sessions she listens for strengths and small wins. Conversations often include setting manageable goals, trying simple skills between meetings, and reviewing what worked. The work is paced to each person’s needs and comfort level.

    Karen pays attention to practical life stressors such as caregiving demands, workplace strain, and midlife transitions. She also supports people dealing with communication problems, forgiveness, and concerns common to women navigating life changes.

    People who choose her often want a straightforward, supportive clinician who focuses on what can change next. To begin, she asks about current concerns, current routines, and what a better week would look like. From there she and the client map out steps that fit daily life.

  2. How her approaches translate to online therapy

    Motivational Interviewing helps people clarify their reasons to change and boosts motivation by focusing on personal values and goals. It uses open conversation to draw out what someone already wants and build small steps forward.

    Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and actions connect. It teaches practical skills to test unhelpful thoughts and try new behaviors, which can ease anxiety, improve mood, and help with relationship patterns.

    Finding the right approach is a team effort. She will work with each person to choose methods that match their needs, goals, and daily life. That collaboration means trying things, checking how they feel, and adjusting the plan over time.

    Because session formats are not listed in the original biography, confirm current options before booking. Online work can make it easier to fit therapy into a busy week, cut travel time, and allow shorter check-ins when needed. It also gives flexibility to schedule around work, caregiving, or other commitments while keeping focus on clear goals and skills to practice between sessions.

  4. Areas of expertise

    Primary focus

    Stress, AnxietyRelationship issuesGriefSelf esteemCareer difficulties

    Additional focus areas

    Caregiver issues and stressCommunication problemsForgivenessMidlife crisisWomen's issuesWorkplace issues

    Therapeutic approaches

    Cognitive Behavioral Therapy (CBT)Motivational Interviewing

    Experience

    15+ years

    Listed in

    Maryland

    Languages

    English

  5. Frequently asked questions

    What kinds of concerns does she address?

    She works with stress, anxiety, relationship issues, grief, self-esteem, and career concerns, plus caregiver stress and workplace problems.

    How would you describe her therapeutic style?

    Her style is collaborative and practical, focusing on small steps, goal setting, and clear skills you can use between sessions.

    What is her professional background?

    She has 15 years of professional experience supporting people through life transitions and everyday stressors.

    What credentials does she hold and where is she based?

    She is an LCSW-C licensed in Maryland and provides services from that state.

    Which languages are offered for sessions?

    Sessions are offered in English.

    Can international clients work with her?

    International clients are not currently accepted.

    How are sessions priced and billed?

    Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

    What are the first steps to begin therapy?

    Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

  6. Online talk therapy is not emergency or medical care. Stopping or cutting down alcohol or other drugs can be unsafe without medical advice. In immediate danger? Crisis numbers

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Karen Koski-Miller Continue with Karen