Karen Koski-Miller, LCSW-C

Karen Koski-Miller is a licensed clinical social worker with 15 years of experience helping people who feel overwhelmed by stress, anxiety, relationship strain, grief, low self-esteem, and career questions. She supports caregivers coping with ongoing pressure and helps people dealing with communication problems, forgiveness, midlife transitions, women's issues, and workplace challenges. She creates a welcoming space where clients can speak openly about their concerns without fear of judgment.

Her approach is practical and direct. She uses techniques from Cognitive Behavioral Therapy to help people notice unhelpful thought patterns and try new behaviors. Motivational Interviewing helps when someone feels stuck or uncertain about change. Sessions focus on steps a person can try between meetings and on small, achievable goals.

Karen emphasizes collaboration. She listens to what matters most to each person and tailors ideas to fit daily life. She supports people as they weigh options, rebuild confidence, and improve communication with others.

Her practice reflects many years of work in Maryland and a focus on real-world problems. People looking for help with caregiver stress or workplace strain will find an emphasis on usable strategies. The tone in sessions is encouraging and practical, aimed at steady progress.

To begin, people complete a short matching questionnaire and schedule based on therapist availability. Sessions are provided in English and international clients are not accepted.

How her approaches fit online care

Karen uses Cognitive Behavioral Therapy to help people notice unhelpful thoughts and try different behaviors. CBT breaks problems into thoughts, feelings, and actions so clients can test small changes and track results over time.

She also uses Motivational Interviewing to help when someone feels unsure or stuck. This approach focuses on the person's own reasons for change and helps build the motivation needed to take steps forward.

Choosing a therapeutic approach is a team effort. She will talk with each person about goals, preferences, and what has or hasn't worked before. Together they decide which methods to emphasize and adjust the plan as needed.

Confirm the current session options before booking since formats are not listed here. Online therapy can make it easier to fit sessions into a busy week, shorten check-ins when needed, and avoid travel time. It can also allow for different ways of working on communication skills and homework between meetings.