- Stress and anxiety
- Grief and loss
- Spanish and English
About Miriam
She approaches each person as the expert in their own life and looks for practical ways to build on existing strengths. Sessions focus on clear goals and straightforward strategies to reduce distress and improve daily functioning. Conversations are direct and grounded in real-world problems like communication troubles, money stress, or caregiver strain.
Miriam has worked with people facing chronic illness, chronic pain, and disability, and she helps clients navigate life transitions such as divorce, midlife shifts, and military-related concerns. She also addresses issues like attachment and abandonment, body image, guilt and shame, and isolation. Therapy includes talking through difficult feelings and practicing skills to manage them.
Her bilingual ability supports Spanish-speaking clients who prefer to use that language. She aims to make sessions useful from the first meeting, focusing on what will help between appointments. Miriam asks about each person’s priorities and adjusts the pace to match their needs.
To begin, she asks clients to identify the problems they want to solve and the changes they hope to see. Then she works collaboratively to set achievable steps and check progress over time.
Areas of expertise
Primary focus
Additional focus areas
Experience
8+ years
Credentials
Texas
Languages
English, Spanish
How evidence-based techniques are used in online care
Therapy here draws on evidence-based therapeutic techniques that center on practical problem solving and skill building. One common approach focuses on teaching coping skills for stress and anxiety like breathing, grounding, and behavior changes to reduce overwhelm. These techniques help when daily pressures or worry make routine tasks harder.A second approach emphasizes working through grief and mood shifts by naming emotions, tracking patterns, and testing small changes to daily routines. This helps people move through losses and regain a sense of control over day-to-day life. Both approaches use clear steps that can be practiced between meetings.
Deciding which approach to use is a collaborative process. The therapist will ask about goals, symptoms, and preferences and then try methods that fit the person’s needs. Progress is reviewed together and methods are adjusted when needed to find the best fit.
Session formats are not specified in the biography, so please confirm current options before booking. Many people find that online sessions make it easier to fit therapy into a busy week, reduce travel time, and allow shorter check-ins when needed. If Spanish is preferred, sessions can be offered in that language to match client needs.
Frequently asked questions
What concerns does this therapist commonly address?
Miriam works with stress, anxiety, depression, bipolar challenges, relationship difficulties, and grief. She also addresses caregiver stress, chronic pain or illness, body image, and related life changes.
What is the therapist's general approach in sessions?
Sessions focus on practical steps and building on what already helps the client. Conversations aim to set clear goals and teach skills that can be used between appointments.
How much clinical experience does the therapist have?
She has eight years of professional experience working in counseling and mental health settings.
What credentials and location are listed for this therapist?
The therapist holds the credential LPC, and she is licensed in Texas.
Which languages are offered for sessions?
Sessions are offered in English and Spanish.
Can people outside the United States work with this therapist?
International clients are accepted; confirm any regional requirements before scheduling.
How are fees and billing handled?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What are the steps to start working with the therapist?
Use the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.