Rebekah Machiela, LCSW-C

Rebekah Machiela is a Licensed Certified Social Worker-Clinical (LCSW-C) in Maryland with 13 years of experience. She works with people dealing with stress, anxiety, relationship strain, grief, low self-esteem, and the fallout of life changes. Rebekah also supports those facing intimacy-related issues, parenting challenges, depression, and compassion fatigue.

She has a background providing counseling in medical settings and has worked with clients around chronic illness, disability, caregiver stress, cancer, hospice and end-of-life concerns, and postpartum adjustment. That experience shapes how she approaches conversations about grief and long-term health problems. Rebekah often helps people who are caught in caring roles or who struggle with boundaries and codependency patterns.

Her style centers on straightforward listening and practical strategies. Sessions may include talking through how past family patterns affect current relationships, learning communication skills, and trying brief exercises from cognitive behavioral approaches. She uses client-centered, narrative, psychodynamic, and solution-focused ideas to guide the work.

Clients coming from medical or caregiving contexts will find familiarity in her background with hospital-based counseling and hospice-related care. She explains concepts plainly and spends time setting realistic steps people can try between meetings. Rebekah encourages reflection, learning from patterns, and gradually changing day-to-day coping habits.

Sessions are conducted in English and she does not accept international clients. Costs vary by location and services use a cancel-anytime subscription model. To begin, prospective clients complete a short matching questionnaire and schedule an initial session through the See online therapy options button.

How her therapeutic approaches translate to online work