Profile / United States
Rebekah Machiela, LCSW-C
Maryland
LCSW-C focused on stress and relationships
See online therapy options- Stress and anxiety
- Relationship skills
- Grief and loss
About Rebekah
Rebekah Machiela is a Licensed Certified Social Worker in Maryland with 13 years of clinical experience. She focuses on stress, anxiety, relationship and grief concerns, plus self-esteem and coping with life changes. She also works with intimacy-related issues, parenting concerns, depression, and compassion fatigue.
Rebekah has extensive background providing counseling in medical hospital settings. That experience informs her work with people facing chronic illness, cancer, caregiving strain, hospice and end-of-life matters, and postpartum adjustment. She offers practical communication strategies for relationship problems and help managing family of origin or family conflict issues.
Her approach draws on Cognitive Behavioral Therapy along with client-centered and narrative methods. Sessions focus on identifying unhelpful thoughts and habits, testing new ways of responding, and practicing concrete skills between meetings. She also uses psychodynamic ideas and solution-focused strategies when they fit the situation.
Rebekah aims for clear, structured sessions that teach coping techniques and build self-awareness. She works on things like forgiveness, guilt and shame, codependency, and rebuilding self-love after loss or illness. Her hospital experience gives her particular familiarity with aging and geriatric issues, chronic pain or disability, and hospice conversations.
If someone is trying therapy for the first time or looking for a different approach, Rebekah helps set specific goals and steps to reach them. She encourages regular check-ins on progress and adjusts methods to match what is helping most.
How her approaches adapt to online sessions
Rebekah uses Cognitive Behavioral Therapy to help people spot and test thoughts and behaviors that keep problems going. CBT is practical and focuses on small, measurable changes that reduce anxiety, depression, and stress related to illness or life transitions.She also uses client-centered therapy, which centers on the person's experiences and priorities and supports steady skill practice. Narrative therapy helps people put difficult events into clearer perspective and rewrite the parts of their story that feel limiting.
Choosing the right approach is collaborative. Rebekah will work with each client to decide which methods fit their goals, needs, and preferences and will adjust the plan as progress is reviewed.
Session formats are not listed in the biography, so confirm current online options before booking. Many people find online sessions easier to fit into a workday or caregiving schedule, allow a shorter check-in when energy is low, or reduce travel time when managing chronic illness. Talk with the therapist about which format and scheduling pattern would best match practical needs.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
13+ years
Listed in
Maryland
Languages
English
Frequently asked questions
What kinds of issues does she help with most often?
She works with stress, anxiety, relationship concerns, grief, self-esteem, coping with life changes, intimacy issues, parenting, depression, and compassion fatigue.
How would therapy feel day to day with her?
Sessions are structured and practical. Expect to identify unhelpful thoughts, practice new responses, and try skills between sessions.
What is her professional background?
She has 13 years of clinical experience and has provided counseling in medical hospital settings, which shapes her work with illness, caregiving, and end-of-life concerns.
What credentials does she hold and where is she based?
She is LCSW-C (Maryland) and practices in Maryland.
Which languages are sessions offered in?
Sessions are offered in English.
Can international clients work with her?
She does not accept international clients at this time.
How are costs handled for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin scheduling a session?
Select the See online therapy options button, complete the 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.