About Marian
Marian Howard is a licensed mental health counselor (LMHC) in Massachusetts with 20 years of clinical experience. She works with people facing stress, anxiety, depression, addiction, trauma, grief, and ADHD. Marian aims to make therapy practical and understandable for busy lives.
Marian draws on client-centered principles to make sessions feel respectful and person-focused. She uses Cognitive Behavioral Therapy (CBT) to help people notice and change unhelpful thoughts and behaviors. She also applies Dialectical Behavior Therapy (DBT) skills for managing strong emotions and improving coping.
Background and approach
Her work often focuses on rebuilding self-esteem and improving communication. She helps people address control issues, guilt, shame, isolation, and intimacy-related concerns. Marian offers concrete tools for panic symptoms, grief, and navigating major life changes.
Parents and caregivers often seek support for caregiver stress and parenting strain; Marian provides strategies to reduce burnout and restore balance. She also supports people dealing with substance use and the emotional aftermath of trauma and abuse. Sessions are available in English and Marian is able to work with clients internationally.
She combines practical skill-building with compassionate listening so people leave sessions with clear steps they can try between meetings. Marian’s goal is to help each person recognize strengths and build routines that fit their life. She keeps sessions straightforward and action-oriented while honoring each person’s pace and preferences.
How Marian uses CBT and DBT online
Marian uses client-centered therapy to make each session focused on the person sitting across from her, whether by video or text. That approach centers the client's goals and strengths and guides how sessions are structured.Cognitive Behavioral Therapy, or CBT, helps people spot thoughts and behaviors that worsen anxiety, depression, or ADHD-related difficulties. Marian teaches practical steps to test those thoughts and build new habits to reduce distress.
Dialectical Behavior Therapy, or DBT, offers concrete skills for managing intense emotions, handling crises, and improving interpersonal effectiveness. These skills can be practiced between sessions and reviewed together during meetings.
Finding the right approach is a collaborative process. Marian will work with each person to choose methods that match their needs, goals, and daily life. She adjusts tools and pacing based on feedback so therapy feels useful and realistic.
Online therapy makes it easier to fit work on mental health into a busy schedule. Video calls allow face-to-face conversation, phone sessions can be a simpler option when bandwidth is limited, and live chat or text messaging is useful for short check-ins or when someone prefers typing. These options increase flexibility, help maintain consistency, and let people keep momentum between sessions.
Questions people ask
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What this therapist works with
Also listed
- Abandonment
- ADHD
- Anger management
- Bipolar disorder
- Caregiver issues and stress
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Self esteem
- Self-love
- Social anxiety and phobia
- Women's issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Massachusetts
- Languages
- English
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