Rebekah Machiela, MD, LCSW-C

Maryland | Online sessions in Maryland | English | Book with Rebekah »

Compassionate therapist for life transitions

Details

Name	Rebekah Machiela
Credentials	MD, LCSW-C
Based in	Maryland
Licensed in	Maryland
Session format	Online
Languages	English
Years in practice	13

About Rebekah

Rebekah Machiela, MD, LCSW-C helps people facing stress, anxiety, relationship strains, grief, depression, and the daily pressures of parenting and caregiving. She brings a calm, approachable presence and focuses on practical ways to manage emotions and rebuild connection. Her work often centers on improving self-esteem, addressing intimacy concerns, and finding tools for coping with life changes.

Rebekah draws on 13 years of clinical experience, including time spent providing counseling in medical settings.

Background and approach

That background shapes how she supports people dealing with chronic illness, cancer, hospice and end-of-life concerns, and caregiver burnout. She also helps with postpartum adjustment, pregnancy-related distress, and chronic pain or disability challenges. Sessions are conversational and centered on the person in front of her.

She listens for the story you bring and helps you notice patterns that either help or hold you back. From there she offers concrete strategies you can try between sessions, along with space to reflect and process difficult emotions. Her approach blends Narrative Therapy, client-centered care, cognitive behavioral techniques, psychodynamic insight, and solution-focused steps.

That mix allows her to adapt to what each person needs, whether that is changing unhelpful thoughts, repairing communication, or finding small, achievable goals. Rebekah works with adults in Maryland and provides services in English. She aims to help people increase self-compassion, improve relationships, and regain a sense of control when life feels overwhelming.

What this therapist works with

Her listing names Stress, Anxiety, Relationship issues, Grief among the things Rebekah works with, alongside the areas below.

Approaches listed

Narrative Therapy: Named in her listing among her approaches.
Client-Centered Therapy: Listed by Rebekah among the ways she works.
Cognitive Behavioral Therapy (CBT): Listed by Rebekah among the ways she works.
Psychodynamic Therapy: Listed by Rebekah among the ways she works.
Solution-Focused Therapy: Listed by Rebekah among the ways she works.
Training stated: This directory copies the approaches a therapist names and does not check training records. Ask Rebekah directly how much of the work is narrative and what a session usually looks like.

Narrative Therapy in this listing

Narrative Therapy appears in this therapist's own list of approaches. That tells you it is part of how she works. It does not tell you how much of a session it shapes, and this directory does not check or rate training.

If a narrative approach is what you are looking for, it is worth asking Rebekah directly how she uses it and what a session usually looks like.

Online session options

Therapeutic approaches you can use online

Rebekah uses Narrative Therapy to help people reframe the stories they tell about themselves. This approach focuses on separating a person from the problem and finding alternative storylines that support growth and hope. Client-Centered Therapy is another part of her practice and emphasizes listening closely, validating feelings, and letting the client set the pace and goals of work.

She blends these approaches with practical techniques from Cognitive Behavioral Therapy when helpful, such as identifying unhelpful thoughts and testing small behavior changes. Finding the right mix is a collaborative process - she will work with each person to choose methods that fit their goals, needs, and comfort level rather than imposing one fixed style.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which make it easier to fit therapy into a busy life. Video sessions allow face-to-face conversation and visual cues, phone sessions can be a good option when internet bandwidth is limited, chat sessions work for shorter check-ins, and messaging supports ongoing reflection between appointments. These options provide flexibility so people can keep progress moving even with changing schedules.

Common questions about this listing

What concerns does this therapist address?

Rebekah supports people with stress, anxiety, relationship problems, grief, depression, parenting strain, compassion fatigue, and coping with life changes. She also focuses on issues like chronic illness, cancer, caregiver stress, and postpartum adjustment.

How would you describe the therapeutic style?

The style is warm and conversational, with a focus on listening to each person's story. Sessions combine reflective listening, practical skills, and goal-focused steps.

What kind of experience does the therapist have?

She has 13 years of clinical experience, including counseling work in medical hospital settings. That experience informs care for chronic illness, end-of-life issues, and caregiver concerns.

What credentials and location are listed?

The clinician holds MD and LCSW-C credentials and practices in Maryland.

Which languages are sessions offered in?

Sessions are offered in English.

What session formats are available?

Therapy is offered via video calls, phone sessions, live chat, and text-based messaging.

How does billing and cost work?

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 together?

Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling based on therapist availability.

Contacting this therapist

Sessions with Rebekah are arranged through our partner platform. It asks a few questions about what you are looking for, then shows you the therapists available to you, including Rebekah where she has space. Ask about fees, and whether she holds a licence or registration where you live.

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