Marian Howard, LMHC

Marian Howard is a licensed mental health counselor (LMHC) practicing in Massachusetts with 20 years of clinical experience. She focuses on helping people who are dealing with depression, anxiety, trauma, addictions, and major life changes. Marian combines practical skills with a warm, person-focused stance so clients feel heard and understood.

She uses client-centered methods to make space for each person’s story. Cognitive Behavioral Therapy (CBT) is part of her toolkit for tackling unhelpful thoughts and behaviors. She also draws on Dialectical Behavior Therapy (DBT) skills to teach emotional regulation and distress tolerance.

Marian often supports people coping with caregiver stress, compassion fatigue, and the strain of parenting responsibilities. She helps clients work through issues such as grief, anger, low self-esteem, and intimacy-related concerns. She also addresses panic symptoms, social anxiety, and problems tied to control, guilt, and shame.

Her style is collaborative and practical. Sessions typically include short-term coping strategies and longer-term work on patterns that keep people stuck. Marian aims to help clients reconnect with self-worth and build everyday skills for more manageable days.

Clients can expect a straightforward, down-to-earth approach that balances empathy with concrete tools. She accepts international clients and conducts therapy in English. Before booking, confirm current session options and scheduling details.

How Marian Uses Evidence-Based Skills Online

Marian draws from client-centered therapy to keep conversations focused on each person's priorities. This approach means she listens carefully and follows the client’s pace while helping them name what matters most.

She also uses Cognitive Behavioral Therapy (CBT) techniques to identify and change unhelpful thought patterns and behaviors. CBT can help with anxiety, depression, panic symptoms, and problems that get in the way of daily functioning. Dialectical Behavior Therapy (DBT) skills are another tool she brings into sessions to teach emotion regulation, distress-tolerance, and clearer communication when emotions feel overwhelming.

Finding the right approach is part of the work. Marian will collaborate with each person to decide which methods fit their goals and circumstances. She tailors exercises and homework to practical needs, and revises the plan based on what helps most.

The convenience of online therapy can make it easier to fit sessions into a busy life. Confirm the current session options before booking since formats were not specified in the biography. Online work can shorten commute time, allow for easier scheduling around caregiving or work, and make regular check-ins more manageable while still focusing on real change.