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MH Portrait of Marian Howard

Marian Howard

Focused, practical therapy for meaningful change

LMHC Massachusetts

Experience
20 years in practice
Focus areas
Stress, Anxiety, Addictions, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English
Continue with Marian

About Marian

Marian Howard is a licensed mental health counselor (LMHC) who centers her work on practical, evidence-informed methods such as Cognitive Behavioral Therapy to help people address stress, anxiety, mood struggles, and addictive behaviors.

Background and approach

With 20 years of clinical experience in Massachusetts, she blends structured skill-building with a warm, client-centered stance to help clients identify unhelpful patterns and develop more effective ways of coping. Her practice addresses a wide range of concerns including depression, trauma and post-traumatic stress, panic symptoms, grief, bipolar mood concerns, and challenges around intimacy, parenting, and self-esteem.

Marian also focuses on issues such as compassion fatigue, ADHD, communication and control struggles, isolation, and the emotional fallout of divorce or separation. She emphasizes practical tools for managing symptoms alongside deeper work on shame, guilt, and rebuilding self-love.

Marian favors collaborative, strength-based work that combines cognitive-behavioral techniques with client-centered empathy and elements of dialectical behavior therapy when emotional regulation skills are needed. Her goal is to help clients build resilience, improve relationships, and navigate life changes with clearer coping strategies and renewed personal agency.

Combining practical therapies with flexible online care

Cognitive Behavioral Therapy (CBT) is a structured, goal-oriented approach that helps people identify and change unhelpful thoughts and behaviors to reduce symptoms like anxiety, panic, and depression. Client-Centered Therapy emphasizes empathic listening and unconditional positive regard, creating space for clients to explore feelings and clarify personal values. Dialectical Behavior Therapy (DBT) contributes focused skills training for emotional regulation, distress tolerance, and interpersonal effectiveness when intense emotions are present.

Deciding which approach fits best is part of the therapeutic process. Marian works collaboratively with clients to match techniques to their needs, goals, and preferences, adapting methods over time based on progress and what feels most helpful for the individual.

Online therapy through video calls, phone sessions, live chat, or text-based messaging offers practical flexibility for people juggling busy schedules or living in different locations. These options make it easier to maintain continuity of care, access skill coaching between sessions, and receive support in formats that suit daily life and personal comfort.

Frequently asked questions

What concerns does Marian commonly help with?
She works with a broad range of difficulties including stress, anxiety, depression, addictions, trauma and abuse, bipolar mood concerns, grief, intimacy-related issues, parenting challenges, anger, self-esteem, and coping with life changes.
What is her therapeutic style and approach?
Her work combines client-centered therapy with Cognitive Behavioral Therapy (CBT) and elements of Dialectical Behavior Therapy (DBT), blending empathic listening with practical skills training to support change.
How much clinical experience does she have?
Marian brings 20 years of clinical experience to her practice, drawing on long-term work with people facing complex emotional and behavioral challenges.
What are her credentials and where is she based?
She is licensed as an LMHC with the credential listing MA LMHC LMHC5710 and is located in Massachusetts.
Does she offer services in languages other than English or accept international clients?
Sessions are offered in English, and she does accept international clients.
Which session formats are available for remote work?
She provides video calls, phone sessions, live chat, and text-based messaging to accommodate different communication preferences.
How is cost structured for sessions?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What is the process to begin working with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsTrauma and abuseBipolar disorderDepression

Also works with

GriefIntimacy-related issuesParenting issuesAnger managementSelf esteemCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentCaregiver issues and stressCommunication problemsControl issuesDivorce and separationGuilt and shameIsolation / lonelinessPanic disorder and panic attacksPost-traumatic stressSelf-loveSocial anxiety and phobiaWomen's issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)

Experience

20+ years

Licensed

Massachusetts

Languages

English