Karen Koski-Miller, LCSW-C

Karen Koski-Miller is a licensed social worker in Maryland who helps people handle stress, anxiety, relationship struggles, grief, and self-esteem concerns. She also supports those facing career questions and motivation challenges. Karen emphasizes a straightforward, supportive approach so people can start making changes they want.

She aims to create an open space where thoughts and feelings can be shared without judgment. Sessions focus on practical steps and clear conversation rather than clinical jargon. Karen encourages small, achievable goals that build confidence over time.

Her background includes 15 years of professional experience in mental health work across community settings. That experience informs a steady, empathetic style that balances listening with direction when it helps. She draws on methods that encourage new patterns of thinking and action.

In session, Karen often helps people identify unhelpful thinking and test new behaviors. She uses techniques that support motivation and decision making when someone feels stuck. The overall aim is to help clients gain tools they can use outside of sessions.

People who contact Karen usually want practical support for everyday problems. She invites those who are ready to try small changes and to take steps toward a more manageable life. To begin, prospective clients complete a short matching questionnaire and schedule based on therapist availability.

How Karen’s approaches translate to online sessions

CBT, or Cognitive Behavioral Therapy, helps people notice unhelpful thoughts and then try different behaviors to see what changes. It is often used for anxiety, stress, low self-esteem, and practical problems at work or home. Motivational Interviewing focuses on building a person’s own reasons for change and increasing confidence to take steps forward, which can help when motivation or direction feels blocked.

Choosing an approach is a collaborative process. Karen will work with each person to decide what fits best based on goals, preferences, and what has or hasn’t helped before. She often combines elements to match a client's needs rather than using a single method only.

The biography does not specify which session formats are offered, so confirm current options before booking. In general, online therapy can make it easier to fit sessions into a busy life, allow shorter check-ins when needed, and reduce travel time. It can also let someone use audio-only options when video would be difficult, or keep appointments during a lunch break or between errands. Ask about the available formats when you schedule so sessions match your routine and needs.