Marian Howard

Marian Howard is a licensed mental health counselor (LMHC) based in Massachusetts. She brings 20 years of clinical experience helping people manage anxiety, depression, grief, and major life changes. Marian emphasizes a compassionate, straightforward style that helps people feel heard and understood from the first session.

Her practice focuses on practical skills and clear steps. She uses client-centered methods to build trust and listen to each person’s priorities. She also draws on cognitive behavioral tools to spot unhelpful thoughts and DBT techniques to teach emotion regulation and distress tolerance.

Marian often helps people facing relationship shifts, communication breakdowns, and the emotional fallout of separation and divorce. She addresses issues such as addiction, panic symptoms, and persistent shame with a focus on small, doable changes. Sessions include concrete strategies people can try between meetings.

Her experience includes working with trauma and post-traumatic stress, caregiver stress, and chronic feelings of isolation. Marian integrates trauma-aware practices aimed at pacing work to each person’s readiness and tolerance.

People choosing Marian can expect a collaborative approach. She invites clients to set goals and checks in about what’s working. The therapy process is practical and goal-focused while keeping attention on strengths and self-compassion.

How her approaches translate to online work

Client-Centered Therapy emphasizes listening and following the client’s lead. In practice this means sessions focus on what matters most to the person and on building a collaborative relationship that guides the work.

Cognitive Behavioral Therapy, or CBT, looks at how thoughts, feelings, and actions interact. It provides clear techniques to challenge unhelpful thinking and try new behaviors to reduce anxiety, depression, or panic symptoms.

Dialectical Behavior Therapy, DBT, offers skills for managing intense emotions and improving interpersonal effectiveness. It is useful for learning distress tolerance, emotion regulation, and clearer communication during times of crisis or major change.

Choosing the right approach is part of the work. Marian will talk with each person about goals, needs, and preferences and will try methods that fit those priorities. That collaborative process helps tailor which techniques are emphasized over time.

The original biography does not list specific online session formats, so confirm available options before booking. Many people find online therapy helps fit sessions into busy schedules, reduces travel time, and makes it easier to follow up between appointments. Licensed professionals can adapt CBT and DBT exercises for remote sessions so practical skill building continues even when meeting virtually.