- CBT skills
- DBT basics
- Client-centered work
About Marian
Marian Howard is a Licensed Mental Health Counselor (LMHC) in Massachusetts with 20 years of clinical experience. She works with people dealing with stress, anxiety, depression, grief, addictions, trauma, ADHD, anger, and parenting concerns. Marian helps people who feel stuck by focusing on practical skills and clearer communication.
Her approach combines client-centered work with cognitive behavioral techniques and Dialectical Behavior Therapy methods. That means she pays attention to each person's experience while teaching concrete ways to manage thoughts, emotions, and behavior. Sessions often include skill practice for handling panic, reducing anger flare-ups, or coping with intense reactions.
Marian also helps people who struggle with guilt, shame, isolation, or feeling controlled by past events. She uses clear questions and reflective listening to surface patterns that keep problems going. From there she and the client test small changes and notice what makes a real difference.
People contact her about relationship strain, intimacy concerns, and the stress of caregiving or parenting. She works with issues such as abandonment, divorce and separation, and compassion fatigue by focusing on what can be changed now. Marian aims to strengthen a person's ability to set limits, communicate needs, and reduce repeated conflict.
Her work is straightforward and practical. She supports clients in building self-respect, improving communication skills, and developing tools to manage strong emotions. To begin, clients complete a short matching questionnaire and schedule a first session.
How Marian applies client-centered and skills-based methods online
Marian uses client-centered therapy to focus on each person’s experience and priorities. That approach means the therapist listens closely, reflects what is said, and helps the client name what matters most. It supports work on issues like self-esteem, grief, and relationship patterns.Cognitive Behavioral Therapy (CBT) in her practice targets thoughts and behaviors that keep problems going. CBT involves practical exercises such as tracking triggers, testing unhelpful beliefs, and trying small behavior changes to reduce anxiety or anger. Dialectical Behavior Therapy (DBT) components teach emotion regulation, distress tolerance, and clearer communication for intense feelings.
Finding the right fit is a team effort. Marian will help clients choose approaches that suit their goals, symptoms, and daily life. She combines listening with skill teaching and adapts what she offers as the work unfolds.
Confirm the available session formats before booking because the biography does not list them. Online sessions can make it easier to fit therapy into a busy schedule, shorten travel time, and allow for different check-in styles such as brief phone updates or longer video conversations depending on what is offered. These practical options can help sustain regular work on anger, panic, or stress without promising a specific format.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Listed in
Massachusetts
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, depression, trauma, addictions, anger, grief, ADHD, and related issues such as parenting strain and intimacy problems.
How would you describe her therapy style?
Her style blends client-centered listening with cognitive behavioral techniques and Dialectical Behavior Therapy skills for emotion regulation and coping.
How much experience does she have?
She has 20 years of clinical experience working with a wide range of emotional and behavioral concerns.
What are her credentials and where is she based?
She is an MA LMHC and practices in Massachusetts.
Can I work with her if I live outside the United States?
She accepts international clients and conducts sessions in English.
What session formats are offered?
Please confirm current session options before booking since the biography does not list specific formats.
How does payment work and what does it cost?
Cost varies with location; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.