About Marian
Marian Howard is a licensed mental health counselor with 20 years of experience. She works with people facing anxiety, depression, trauma, addictions, and major life changes. Marian aims to help clients feel more grounded and able to manage day-to-day stress.
Her style blends Client-Centered Therapy with Cognitive Behavioral Therapy and Dialectical Behavior Therapy. Sessions focus on practical skills, clearer thinking, and building emotional regulation. She spends time understanding each person's priorities before suggesting tools to try.
Background and approach
Marian often helps people struggling with grief, bipolar mood concerns, panic, and low self-esteem. She also supports those dealing with caregiver stress, relationship communication problems, and feelings of isolation or shame. Conversations can include strategies for healthier boundaries and better day-to-day coping.
Over two decades in Massachusetts, Marian has worked with a wide range of challenges connected to trauma and abuse, compulsive behaviors, and compassion fatigue. She uses simple exercises and step-by-step plans rather than jargon. The aim is steady progress, not quick fixes.
Clients can expect a collaborative pace. Marian listens first, then introduces CBT-style thinking tools and DBT skills when they fit. Her goal is to help people build self-love, stronger coping habits, and clearer communication patterns.
How Marian’s approaches work online
Marian combines Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT) into online work that focuses on real problems. Client-Centered Therapy means the conversation centers on the person’s needs and priorities, with the therapist listening and reflecting to build understanding. CBT looks at unhelpful thoughts and teaches simple exercises to change thinking patterns and behavior. DBT offers concrete skills for managing strong emotions, handling conflict, and improving relationships.Choosing the right approach is a shared process. Marian will ask about goals, daily struggles, and what has or hasn’t helped before suggesting techniques. Together the client and therapist try tools, track what helps, and adjust the plan over time so it fits real life and personal preferences.
Online formats include video calls, phone sessions, live chat, and text-based messaging to match different needs. Video works well for deep conversations and skill practice, phone can fit shorter check-ins or lower bandwidth, and messaging supports quick touchpoints between sessions. These options make therapy easier to fit around work, caregiving, or travel while keeping the same clinical approaches available remotely.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- ADHD
- Anger management
- Bipolar disorder
- Caregiver issues and stress
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- Panic disorder and panic attacks
- Parenting issues
- Post-traumatic stress
- Self esteem
- Self-love
- Social anxiety and phobia
- Women's issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Massachusetts
- Languages
- English