Rebekah Machiela, MD, LCSW-C
Compassionate therapist for parenting and life stress
Book with Rebekah- Years in practice
- 13
- Credentials
- MD, LCSW-C
- Licensed in
- Maryland
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Relationship issues
- Focus
- Grief
About Rebekah
Rebekah Machiela is a licensed clinician based in Maryland who helps people facing stress, anxiety, grief, parenting concerns, relationship strain, and challenges around self-esteem. She brings 13 years of experience supporting people through major life changes, caregiving strain, and health-related difficulties. Rebekah aims to create a calm, respectful space where clients are listened to and heard.
Her approach is warm and collaborative. She leans on several practical therapy styles to guide conversations and teach coping skills.
Background and approach
Sessions focus on clear communication strategies, problem-solving steps, and building habits that reduce daily stress. Rebekah’s background includes substantial work in medical settings, where she supported people dealing with chronic illness, cancer, and end-of-life issues. That experience informs how she talks about caregiving stress, chronic pain, and hospice-related concerns.
She also helps people navigating postpartum adjustment, pregnancy and childbirth related stress, and compassion fatigue. Rebekah pays attention to family of origin themes, codependency, and patterns that affect intimacy and relationships. In sessions she mixes client-centered listening with structured techniques from cognitive behavioral and solution-focused approaches.
She encourages self-reflection, forgiveness work, and building practical skills for everyday life.
What Rebekah works with
Everything Rebekah lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Rebekah helps people with.
- Stress, Anxiety
- Relationship issues
- Grief
- Self esteem
- Coping with life changes
- Family conflicts
- Intimacy-related issues
- Parenting issues
- Depression
- Compassion fatigue
- Aging and geriatric issues
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Codependency
- Communication problems
- Family of origin issues
- Family problems
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Narcissism
- Postpartum depression
- Pregnancy and childbirth
- Self-love
Approaches Rebekah lists
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How therapeutic approaches translate to online care
Client-centered therapy emphasizes listening and responding to each person's concerns. The therapist follows the client's lead, reflects feelings, and helps people clarify what matters most to them. This approach is useful for grief, caregiving stress, and parenting worries.Cognitive behavioral therapy, or CBT, focuses on identifying unhelpful thoughts and testing practical behavior changes. It offers concrete tools for anxiety, low mood, and coping with life transitions. Solution-focused work looks at small, achievable steps and builds on what already works in a person's life to create quick, practical change.
Finding the right approach is part of the work. The therapist will talk with each person about goals, preferences, and what feels helpful. Together they choose or adapt methods so sessions match the client's needs and pace.
Online therapy offers flexibility and several ways to connect. Video calls let people see facial cues and practice communication skills in real time. Phone sessions require less bandwidth and can be easier to fit into a busy day. Live chat and text-based messaging support brief check-ins, journaling between sessions, or people who prefer writing to speaking. These options make it easier to maintain continuity of care while balancing family, work, and health demands.
Questions people ask about Rebekah
What concerns does Rebekah commonly help with?
She supports people with stress, anxiety, depression, parenting questions, relationship and intimacy concerns, grief, and compassion fatigue. Additional focus areas include caregiver stress, chronic illness, postpartum adjustment, and end-of-life issues.
How would you describe her therapy style?
Her style is warm and client-centered, combining listening with practical steps. She works collaboratively to teach communication tools and coping techniques tailored to daily life.
What kind of experience does she bring?
She has 13 years of clinical experience, including substantial counseling work in medical hospital settings. That background shapes how she addresses health-related and caregiving concerns.
What credentials and location are listed?
She holds an MD and is a Licensed Clinical Social Worker - Certified (LCSW-C) practicing in Maryland.
Are sessions available in other languages or internationally?
Sessions are offered in English. International clients are not currently accepted.
Which session formats are offered?
She provides video calls, phone sessions, live chat, and text-based messaging. Different formats can fit different schedules and communication preferences.
How is cost handled for sessions?
Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.
What are the first steps to begin working together?
Start by selecting the Start Therapy button and completing a short matching questionnaire. Then schedule sessions according to the therapist's availability.
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