Rebekah Machiela
Compassionate, practical support for life transitions
MD, LCSW-C Maryland
- Experience
- 13 years in practice
- Focus areas
- Stress, Anxiety, Relationship, Grief
- Approaches
- Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
- Languages
- English
About Rebekah
Rebekah Machiela is a licensed therapist practicing in Maryland who supports people coping with stress, anxiety, grief, relationship and intimacy concerns, parenting challenges, depression, compassion fatigue, and adjustments to life changes.
Background and approach
With 13 years of experience, she brings particular familiarity with caregiving and medical-related issues including aging and geriatric concerns, cancer, chronic illness and disability, hospice and end-of-life counseling, and postpartum and pregnancy-related adjustment. Her work also addresses family dynamics, communication problems, codependency, guilt and shame, and the search for greater self-love and forgiveness.
Rebekah blends warmth and empathy with structured therapeutic techniques to help clients develop practical coping strategies and clearer communication skills. She centers the client’s story and collaborates on goals while drawing from approaches such as client-centered therapy, cognitive behavioral therapy (CBT), narrative methods, psychodynamic perspectives, and solution-focused interventions.
Her background counseling in medical settings informs a sensitivity to the emotional and logistical complexities that accompany illness and caregiving, and she emphasizes growth, reflection, and increased self-compassion as part of the therapeutic journey.
Approaches that guide online care and collaboration
Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thought and behavior that contribute to distress and then learning practical skills to shift those patterns; it can be helpful for anxiety, depression, and stress management. Client-Centered Therapy emphasizes a respectful, nonjudgmental relationship in which the therapist offers empathy and support while the client explores their values and goals; this approach is often useful for building self-compassion and strengthening personal agency.
Choosing the right approach is part of the therapeutic process and is done collaboratively. The therapist will work with each person to consider their needs, preferences, and goals, and may integrate elements from different methods to create a plan that feels like the best fit for the situation.
Online sessions are offered through video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These formats make it easier to schedule appointments around caregiving, work, or treatment commitments and allow continued support despite geographic or mobility constraints. Licensed professionals can adapt CBT and client-centered techniques effectively across these formats to help clients practice skills and reflect between sessions.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
13+ years
Licensed
Maryland
Languages
English