Rebekah Machiela

Rebekah Machiela is a licensed clinical social worker who helps people facing stress, anxiety, relationship struggles, grief, and changes that come with parenting or caregiving. She brings a warm, straightforward style and focuses on practical ways to cope with hard moments. Rebekah is identified as LCSW-C in Maryland and has 13 years of experience.

She has extensive background working in medical hospital settings and supporting people managing chronic illness, cancer, and end-of-life concerns. That experience informs how she talks about grief, hospice and hospice-adjacent care, and caregiving strain. She also supports people working through self-esteem challenges, compassion fatigue, postpartum adjustment, and the emotional fallout of major life transitions.

Rebekah blends several therapy approaches to fit what a person needs in the room. She uses Client-Centered methods to listen and follow the person's priorities. She also draws on Cognitive Behavioral Therapy to teach coping skills and Narrative Therapy to help people make sense of their stories.

Sessions emphasize clear communication skills, concrete coping strategies, and building self-compassion. Rebekah helps people practice new ways of speaking about difficult topics and trying small behavior changes between sessions. She encourages reflection without judgment and supports gradual steps toward personal goals.

If someone is dealing with family of origin issues, codependency, intimacy-related struggles, or the effects of narcissistic dynamics, Rebekah offers a steady, practical approach to untangling those patterns. She aims to make therapy a place for learning tools that fit day-to-day life and to help people feel more capable managing stress and relationships.

Approaches that shape online sessions

Rebekah often uses Client-Centered Therapy and Cognitive Behavioral Therapy in her work. Client-Centered Therapy focuses on listening closely, following a person's concerns, and creating space for them to name their goals; it helps with grief, self-esteem, and building self-compassion. Cognitive Behavioral Therapy teaches practical skills for changing unhelpful thought and behavior patterns, which is useful for anxiety, stress, and mood concerns.

Finding the right approach is part of the process. She collaborates with each person to choose methods that match their needs, goals, and preferences. That means trying approaches, checking what helps, and adjusting as progress unfolds.

Session format options are not specified here, so please confirm current choices before booking. Many people appreciate online work because it can make scheduling easier, reduce travel time, and allow shorter check-ins when life is busy. Online sessions can also let someone keep therapy in their routine after medical appointments or during caregiving obligations. Talk with the therapist when you schedule to identify practical arrangements that fit your day-to-day life.