Karen Koski-Miller, LCSW-C

Karen Koski-Miller is a licensed social worker in Maryland with 15 years of experience helping people facing stress, anxiety, relationship concerns, grief, self-esteem challenges, and career decisions. She focuses on practical steps that make daily life feel more manageable. Her approach aims to help people find motivation and rebuild confidence when old patterns stop working.

In sessions she listens without judgment and creates space to talk through real worries. Conversations are straightforward and goal-oriented, with time spent on skills people can use between meetings. She encourages small, doable steps toward change rather than overwhelming plans.

Karen uses Cognitive Behavioral Therapy to help people notice thinking patterns that keep them stuck and to practice new responses. She also draws on Motivational Interviewing to help people clarify what matters and find internal reasons to change. These approaches are practical and focused on results that fit daily life.

She often supports those dealing with caregiver stress, workplace strain, communication problems, forgiveness issues, and concerns common in midlife. Sessions aim to address immediate problems while building tools for future challenges. The tone is collaborative, respectful, and steady.

To begin, she asks people to describe their current priorities and what they hope to change. From there, goals are set together and progress is reviewed regularly. The plan can shift as needs evolve so therapy stays useful and relevant.

How therapeutic approaches shape online sessions

Many clients benefit from Cognitive Behavioral Therapy, which focuses on spotting unhelpful thoughts and testing new behaviors. CBT breaks problems into smaller parts so people can try simple changes and track progress over time. Motivational Interviewing helps when someone feels stuck or uncertain about change by clarifying values and drawing out personal reasons to act rather than using pressure.

Finding the right approach is part of the process. The therapist will work together with each person to choose methods that match their goals, needs, and preferences. This collaborative process may include trying different techniques and adjusting plans as progress occurs.

The practical advantage of online sessions is fitting therapy into a busy life. Online work can make scheduling easier and reduce travel time, which helps people maintain consistency. Because the biography does not list specific session formats, confirm current options before booking so you know which formats are offered. The focus is on helping therapy fit daily routines while using CBT and motivational techniques to make change more manageable.