Rebekah Machiela, LCSW-C

Rebekah Machiela is a licensed clinical social worker in Maryland who helps people manage stress, anxiety, depression, grief, and the strain of caregiving. She also supports those coping with life changes, relationship and intimacy issues, parenting challenges, postpartum adjustment, and self-esteem concerns. Her years in medical settings inform a practical, down-to-earth way of working with health-related struggles and chronic illness.

Rebekah brings a warm, empathetic presence to sessions and treats the client as the expert in their own story. She listens closely, reflects what she hears, and offers tools clients can try between meetings. Expect a focus on improving communication, building coping skills, and exploring patterns that affect relationships and mood.

Her approach draws on client-centered methods and cognitive behavioral techniques to help people notice unhelpful thoughts and try different responses. Narrative ideas are used to make sense of difficult experiences, while psychodynamic perspectives can illuminate long-standing patterns. Solution-focused strategies are brought in for goal-oriented work and short-term changes.

Rebekah encourages self-compassion, reflection, and steady progress toward realistic goals. She aims to help clients feel more capable in day-to-day life and better able to handle medical or caregiving demands. Her background working in hospitals gives added experience with end-of-life, hospice, cancer, and chronic pain conversations.

People seeking help with family-of-origin issues, codependency, guilt and shame, forgiveness, or navigating pregnancy and childbirth may also find her approach helpful. Rebekah has 13 years of clinical experience and holds the LCSW-C credential in Maryland.

How therapeutic approaches shape online care

Client-centered therapy focuses on listening and empathy. The therapist follows the client's lead, reflects feelings, and helps people clarify what matters to them. This approach is useful for grief, caregiving strain, and life transitions where being heard helps guide next steps.

Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and actions connect. It teaches practical techniques to shift unhelpful thinking and try different responses, which can reduce anxiety, depression, and stress related to health concerns.

Finding the right approach is a collaborative process. The therapist will talk with the client about goals, preferences, and what feels most helpful, then tailor methods as work progresses. Clients often try a mix of styles to see what fits best.

Confirm available session formats before booking, as the biography does not list specific options. Online work can make it easier to fit sessions into a busy life, allow shorter check-ins when needed, and reduce travel time. It also lets people continue therapy through medical treatments or when caregiving demands make in-person visits difficult. Licensed professionals adapt tools and pacing to each person's situation so therapy can be practical and relevant.