Rebekah Machiela

Rebekah Machiela is a licensed clinical social worker who helps people facing major life changes and the stress that comes with them. She is based in Maryland and brings 13 years of experience working in medical hospital settings to her practice. Rebekah focuses on common concerns like anxiety, depression, grief, relationship strain, parenting stress, and compassion fatigue.

She uses a warm, empathic style and treats each person as the expert on their own story. Sessions typically involve listening, practical coping strategies, and clearer communication tools that can be put into use between visits. Rebekah emphasizes self-compassion and small steps toward goals.

Her background includes extensive work with people dealing with chronic illness, caregiver burnout, end-of-life and hospice issues, and postpartum adjustment. That experience informs how she approaches grief, medical stress, and long-term caregiving situations. She also supports people facing challenges related to aging, cancer, and chronic pain.

Therapeutic methods she draws on include client-centered work, cognitive behavioral techniques, narrative approaches, psychodynamic ideas, and solution-focused strategies. These tools are used to shape conversations and tailor practical skills to each person’s needs.

Rebekah aims to help clients build healthier self-talk, repair communication patterns, and regain a sense of control while navigating difficult transitions. She welcomes people who are beginning therapy for the first time and those who are seeking a different perspective in care.

How Rebekah’s Approaches Work Online

Client-centered therapy puts the person’s experience at the center of the conversation. It emphasizes listening, validation, and working from the client’s own goals to guide sessions. Cognitive behavioral therapy (CBT) focuses on identifying unhelpful thinking and behavior patterns and trying small practical changes to improve mood and reduce anxiety. Narrative therapy helps people separate themselves from their problems by retelling difficult experiences in a new way to reduce shame and build agency.

Choosing the right mix of techniques is a collaborative process. Rebekah will talk with each person about goals and preferences and then shape sessions around what seems most helpful. Adjustment is normal; the approach can be refined as progress is made and circumstances change.

If you are considering online work, confirm the session formats available before booking. Online therapy can make it easier to fit appointments into a busy week, reduce travel time, and allow for shorter check-ins when needed. It can also make it simpler to keep continuity of care during medical treatments or caregiving periods. Ask about current session options when you schedule so you can pick what fits your routine and comfort.