Profile / United States
Karen Koski-Miller, LCSW-C
Maryland
LCSW-C in Maryland - Stress and Anxiety
See online therapy options- Cognitive Behavioral Therapy
- Motivational Interviewing
- Practical skill building
About Karen
Karen Koski-Miller is a Licensed Certified Social Worker in Maryland with 15 years of experience. She helps people who are dealing with stress, anxiety, relationship problems, grief, low self-esteem, and career concerns.
She uses straightforward conversation to identify unhelpful thinking and habits. Sessions focus on practical steps clients can try between meetings. The emphasis is on small, doable changes rather than long lectures.
Karen often uses Cognitive Behavioral Therapy to notice thought patterns that keep problems going. She also uses Motivational Interviewing to help people find reasons to change and keep going when motivation flags. Both approaches aim to make problem-solving concrete and measurable.
Typical work includes tightening communication skills, managing workplace stress, and addressing caregiver strain. She also helps people handle forgiveness, midlife questions, and issues many women face at work and home. Sessions involve setting clear goals and checking progress each time.
Her style is practical and goal-focused. Clients leave with simple exercises or communication strategies to practice. This approach is intended to reduce worry and improve day-to-day functioning.
To begin, people complete a brief matching questionnaire and schedule a first session. The subscription-based session structure can be canceled at any time, and fees vary by location.
Approaches used and how online sessions work
Karen uses Cognitive Behavioral Therapy to help people spot thoughts and habits that fuel stress and anxiety. CBT sessions focus on testing new behaviors, practicing skills, and tracking progress over time. Motivational Interviewing is used to clarify personal reasons for change and to sustain effort when motivation wavers, which can help with career moves, caregiving choices, or making difficult decisions.Deciding which method to use is a collaborative process. The therapist and client will look at goals, current problems, and personal preferences to choose approaches that fit. They check in regularly to see what is working and adjust the plan together.
The original biography did not list specific session formats, so confirm current online options before booking. Online work can make it easier to fit sessions into a weekday break, reduce travel time, and allow shorter check-ins when schedules are tight. It also makes following up between meetings easier because exercises and notes can be reviewed during the week. Licensed professionals will outline the available session types and help pick the format that best fits daily life.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
15+ years
Listed in
Maryland
Languages
English
Frequently asked questions
What concerns does she commonly address?
She works with stress, anxiety, relationship problems, grief, self-esteem issues, and career questions. Additional focus areas include caregiver stress, communication problems, forgiveness, midlife concerns, women's issues, and workplace stress.
How does she use Cognitive Behavioral Therapy?
She uses CBT to help people notice unhelpful thoughts and patterns. The work involves practical exercises and small behavior changes to test new ways of responding.
What is her background and experience?
She has 15 years of professional experience working with adults on everyday stressors and life transitions. That experience informs a focused, skills-based approach.
What are her credentials and where is she based?
She holds the LCSW-C credential in Maryland and practices from that state. The credential was expanded as Licensed Certified Social Worker in the profile.
Which languages are supported and can international clients book?
Sessions are offered in English. International clients are not currently accepted.
What session formats are offered?
The original biography did not specify session formats. Confirm current session options before booking to know which formats are available.
How are fees handled?
Cost varies with location. Sessions use a subscription model that can be canceled at any time.
How do I get started?
Use the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.