Rebekah Machiela, MD, LCSW-C - Therapist in Maryland

About Rebekah

Rebekah Machiela is a licensed therapist based in Maryland. She supports people facing stress, anxiety, grief, parenting challenges, relationship and intimacy concerns, depression, and compassion fatigue. She brings a warm, empathetic presence and focuses on helping people find clearer ways to cope and move forward.

She trained and practiced for years in medical settings, so she is familiar with chronic illness, caregiver stress, cancer, hospice and end-of-life concerns, and postpartum adjustment.

Background and approach

Rebekah combines practical skills teaching with space to talk through feelings. She aims to help clients build self-compassion and stronger communication habits. Her approach pulls from several methods, including client-centered work and cognitive behavioral techniques.

That means sessions often balance listening deeply with trying small, doable changes that can ease day-to-day life. She also uses narrative and psychodynamic ideas to look at patterns that repeat across time. Rebekah has 13 years of experience and holds MD and LCSW-C credentials.

MD is a medical doctorate and LCSW-C indicates a licensed clinical social worker with clinical designation. She adapts her approach to each person’s needs and goals rather than using a single template. Sessions are offered in English and delivered online through video calls, phone, live chat, or text-based messaging.

To begin, a short matching questionnaire helps pair a person to scheduling options that fit the therapist’s availability.

Therapeutic approaches and online options

Rebekah commonly uses client-centered therapy and cognitive behavioral therapy in online sessions. Client-centered work focuses on listening, validating a person’s experience, and building a safe space to talk through concerns like grief, relationship stress, or caregiver burden. Cognitive behavioral therapy (CBT) looks at thoughts and behaviors that keep problems going and introduces small, practical changes to reduce anxiety or depressive symptoms.

She also draws on narrative therapy ideas when helpful, which involves examining the stories people tell about themselves and finding new ways to shape those stories. Choosing the right combination of approaches is a collaborative process. The therapist will talk with each person about goals and preferences and adjust methods as needed rather than sticking to a single path.

Online therapy here is offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility for busy schedules and caregiving responsibilities. These formats make it easier to fit regular sessions into life and to use therapeutic tools between meetings. Sessions can focus on coping skills, communication practice, grief processing, or planning concrete next steps depending on what a person wants to work on.

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.

Narrative Therapy

Looking at the story you have come to tell about yourself, and where it came from. The work is in separating the problem from your identity and finding accounts that fit you better.

Frequently asked questions

What concerns does she address?

She supports people with stress, anxiety, depression, grief, parenting and intimacy-related issues, and compassion fatigue, among other life changes.

What is her general therapy style?

She blends a warm, client-centered stance with practical strategies and reflective conversation to help people cope and grow.

How much clinical experience does she have?

She brings 13 years of experience providing counseling, including work in medical hospitals and settings related to serious illness and end-of-life care.

What credentials and location are listed?

She holds an MD and is an LCSW-C with license number 18653, and she practices in Maryland.

In which languages are sessions offered?

Sessions are offered in English and international clients are not currently accepted.

Which session formats are available?

Sessions may be conducted via video calls, phone sessions, live chat, or text-based messaging.

How is cost handled?

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

What are the steps to begin working together?

Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist’s availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Relationship issues
Grief

Also works with

Therapeutic approaches

Experience: 13 years
Licensed: Maryland
Languages: English

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