Dr. Lori Malkasian

Dr. Lori Malkasian is a licensed marriage and family therapist (LMFT) based in South Carolina with 20 years of experience. She holds a Psy.D. in counseling and focuses on helping people navigate hard life moments. She works with adolescents and adults on everyday struggles that can feel overwhelming.

She helps people manage depression, anxiety, and anger. Parenting support and school-related concerns are part of her practice. She also addresses relationship strain, coping with life changes, and issues related to adoption and foster care.

Dr. Malkasian uses practical, talk-based sessions to find clearer ways forward. She listens for what matters most to each person and helps set realistic steps to try between visits. Sessions often focus on improving communication, building social skills, and managing strong emotions.

Her clinical approaches include client-centered work that centers a person's own goals, cognitive behavioral techniques that look at thoughts and actions, and emotionally-focused ideas that help with relationship patterns. Mindfulness and narrative methods are also part of her toolkit when they fit a person's needs.

People seeking help with grief, trauma and abuse, addiction, ADHD, or career and financial stress can bring those concerns to sessions. She also supports LGBT issues, blended family challenges, and problems linked to dissociation or overwhelm after disasters.

Dr. Malkasian accepts international clients and conducts work in English. People interested in beginning therapy follow a short matching questionnaire and schedule based on availability.

How her approaches translate to online therapy

Client-centered work focuses on your goals and priorities, letting the therapist follow what matters most to you and tailor sessions around your concerns. Cognitive behavioral therapy (CBT) looks at patterns of thoughts and behaviors and helps build practical skills to reduce symptoms like anxiety or low mood. Emotionally-focused therapy (EFT) centers on how people connect with others and is useful when improving communication and emotional bonds is a goal.

Finding the right approach is part of the work together. The therapist will discuss what seems most helpful and adjust methods based on your goals, needs, and preferences. That collaborative process helps shape a plan you feel comfortable trying.

The main practical benefit of online therapy is fitting sessions into everyday life more easily. It can make scheduling around work, school, or caregiving responsibilities simpler. If you need to manage shorter check-ins, avoid video when bandwidth is limited, or choose times that suit a busy day, talk through options with the therapist to find what works. Confirm the current session formats before booking so you know how sessions will be delivered.