Karen Koski-Miller

Karen Koski-Miller is a licensed clinical social worker in Maryland who helps people facing stress, anxiety, relationship concerns, grief, self-esteem struggles, and career questions. She brings 15 years of professional experience and a steady, supportive presence to conversations about change and next steps. Karen aims to make it easier for someone feeling stuck to take the first step toward a different day.

Her style is direct and compassionate. She creates a calm space where clients can talk through difficult feelings without judgment. Sessions focus on practical steps you can try between meetings and on noticing what’s working in daily life.

Karen uses Cognitive Behavioral Therapy to help people spot unhelpful thinking patterns and try new behaviors that can reduce anxiety and build confidence. She also draws on Motivational Interviewing to help people find their own reasons for change and increase motivation when facing big shifts.

She pays special attention to workplace stress and women’s issues, and she supports caregivers who are managing high demands. Communication problems, forgiveness work, and midlife transitions are other areas she addresses in session.

Overall, Karen works collaboratively to set clear, manageable goals. She offers steady support while helping people discover practical strategies that fit their lives. If someone is ready to explore change, she guides the next steps toward that goal.

How cognitive and motivational methods translate to online care

CBT helps people notice and change thoughts and behaviors that contribute to stress and anxiety. Online CBT sessions usually focus on clear, short skills practice and homework that you can try between meetings to test what helps in daily routines. Motivational Interviewing centers on helping someone find their own reasons to change and build commitment, often through reflective conversations that clarify values and goals.

Finding the best approach is part of the work. The therapist will collaborate with each person to choose techniques that match their goals, needs, and comfort. That may mean combining CBT tools with motivational conversations to keep momentum when change feels hard.

Confirm current session options before booking, since formats are not listed here. Online therapy can make it easier to fit sessions into a busy life by reducing travel time and allowing shorter check-ins when needed. It can also help maintain consistency during periods of work or caregiving demands, and it supports trying practical exercises between sessions to see real-world effects.