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LMHC

Marian Howard, LMHC

  • Experience20 years
  • LocationMassachusetts
  • Focus areasADHD, Stress and Anxiety, and Addictions
  • Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
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About Marian

Marian Howard is a licensed mental health counselor (LMHC) with 20 years of clinical experience helping people navigate complex emotional challenges. She draws on client-centered principles to create a respectful, empathetic space, and pairs that stance with practical, evidence-based strategies from cognitive behavioral therapy and dialectical behavior therapy.

Background and approach

Marian's work commonly addresses stress, anxiety, depression, bipolar symptoms, grief, trauma and abuse, and substance-related concerns, as well as issues around self-esteem, intimacy, and coping with life changes. She attends to patterns that fuel shame, isolation, anger, or control struggles and supports clients through transitions such as separation or caregiving strain.

Marian also focuses on panic symptoms, post-traumatic stress, and compassion fatigue while helping people build communication skills and greater self-love. Based in Massachusetts, she blends a strengths-based orientation with skill-building interventions so clients can better manage symptoms and move toward goals that matter to them.

Using Client-Centered Work, CBT, and DBT Online

Marian integrates client-centered therapy with evidence-based skills training to offer focused online support. Client-centered therapy emphasizes a respectful, nonjudgmental stance in which the therapist listens closely and helps clients clarify values and goals; this approach can be especially helpful for people working through shame, self-esteem, or relational concerns. Cognitive behavioral therapy is used to identify and shift unhelpful thoughts and behaviors with practical exercises and homework, and it is often effective for anxiety, depression, panic symptoms, and ADHD-related challenges. Dialectical behavior therapy teaches emotion regulation, distress tolerance, and interpersonal effectiveness skills that are useful for managing intense emotions and improving relationships.

Choosing the right approach is treated as a collaborative process. Marian will discuss goals, preferences, and symptom patterns with each person and adapt methods as needs evolve, combining supportive listening with targeted skill-building to tailor care. This collaborative stance helps clients understand why certain techniques are recommended and how they fit into a larger plan for growth.

Online formats include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different schedules and comfort levels. These options make it easier to maintain consistency while learning CBT and DBT skills and engaging in client-centered reflection, helping clients access therapy from varied locations and life circumstances.

Frequently asked questions

What kinds of concerns does Marian address?
She works with a wide range of issues including stress, anxiety, depression, bipolar symptoms, addictions, trauma and abuse, grief, intimacy-related struggles, self-esteem, ADHD, and coping with life changes.
How would you describe Marian's therapeutic style?
Her approach is client-centered and collaborative, blending empathy with practical techniques from CBT and DBT to help clients learn skills and explore underlying patterns.
What is Marian's professional background?
She has two decades of experience in clinical work, using trauma-informed and strength-based methods to support people through crises and long-term challenges.
Where is Marian licensed and what are her credentials?
She is licensed in Massachusetts and holds the credential MA LMHC LMHC5710 as a licensed mental health counselor.
Does Marian offer therapy in other languages or to international clients?
Sessions are provided in English, and she does accept international clients.
What session formats are available for working with Marian?
She offers video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and needs.
How are fees handled for sessions with Marian?
Costs vary with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the first steps to begin therapy?
To begin, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsTrauma and abuseBipolar disorderDepression

Also works with

GriefIntimacy-related issuesParenting issuesAnger managementSelf esteemCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentCaregiver issues and stressCommunication problemsControl issuesDivorce and separationGuilt and shameIsolation / lonelinessPanic disorder and panic attacksPost-traumatic stressSelf-loveSocial anxiety and phobiaWomen's issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)

Experience

20+ years

Licensed

Massachusetts

Languages

English