Marian Howard, LMHC - Therapist in Massachusetts

About Marian

Marian Howard is a licensed mental health counselor with 20 years of experience. She uses walk-and-talk practical therapy and evidence-based methods to help people facing stress, anxiety, depression, addiction, and parenting challenges. Marian writes plainly and listens closely so people feel heard from the first session.

She draws on Client-Centered Therapy to create a respectful, nonjudgmental space where clients steer the pace and focus. She uses Cognitive Behavioral Therapy to identify unhelpful thinking and build different coping skills.

Background and approach

Dialectical Behavior Therapy techniques help with emotion regulation and distress tolerance when feelings run high. Marian pays attention to patterns that keep people stuck, like control struggles, guilt, shame, or isolation. She helps clients work through grief, trauma symptoms, panic, and issues around intimacy and self-worth.

Practical communication skills and steps to improve self-care are common parts of her work. Sessions are task-focused when helpful and more open when clients need to talk things through. She supports people managing caregiver stress, divorce and separation, and life transitions.

The aim is steady progress through clear goals and small, usable changes. Marian practices in Massachusetts and offers services in English. She accepts international clients and integrates approaches to fit each person’s situation.

Her license is LMHC, MA LMHC LMHC5710.

How Marian’s Methods Work Online

Marian commonly uses Client-Centered Therapy and Cognitive Behavioral Therapy in online sessions. Client-Centered Therapy focuses on listening, respect, and following the client’s lead to build trust and clarify goals. Cognitive Behavioral Therapy helps identify unhelpful thoughts and teach practical skills to change mood and behavior.

She may also draw on Dialectical Behavior Therapy techniques when strong emotions, panic, or difficulty regulating feelings are present. DBT skills teach grounding, emotion regulation, and distress tolerance that people can practice between sessions. Together these approaches target symptoms like anxiety, low mood, trauma reactions, and problems with communication or control.

Finding the right approach is a collaborative process. Marian will work with each person to pick methods that match their goals, preferences, and life situation. She adjusts pacing and techniques over time so work in therapy stays relevant and doable.

Online formats include video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit therapy into busy schedules and to continue work during life transitions. Many people find the mix of real-time conversation and text-based follow-up useful for practicing new skills between sessions.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Dialectical Behavior Therapy (DBT)

Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.

Frequently asked questions

What concerns does Marian commonly address?

She works with stress, anxiety, depression, addictions, trauma and abuse, bipolar disorder, grief, parenting challenges, anger, self-esteem, ADHD, and related issues such as panic, social anxiety, and intimacy concerns.

What is Marian's therapeutic style like?

Her style blends Client-Centered listening with active skills teaching. She balances empathic conversation and practical tools from CBT and DBT depending on what a person needs.

How much clinical experience does she have?

Marian has 20 years of clinical experience working with a wide range of emotional and life challenges.

What credentials and where is she licensed?

She holds a Master of Arts and is a licensed mental health counselor with license details MA LMHC LMHC5710 in Massachusetts.

Which languages are used in sessions and can international clients join?

Sessions are offered in English, and she does accept international clients.

What session formats are available?

Marian offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.

How are costs and billing handled?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

How do I begin therapy with her?

To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience: 20 years
Licensed: Massachusetts
Languages: English

Next step

Talk to Marian

Takes a few minutes
Nothing to set up just to look
Stop at any point

Book with Marian