Karen Koski-Miller, MD, LCSW-C

Karen Koski-Miller is a licensed clinician who helps people manage stress, anxiety, relationship struggles, grief, self-esteem, and career concerns. She combines practical techniques with steady support to help people take the next step toward feeling more capable and motivated.

She has 15 years of professional experience and holds an MD and LCSW-C. Karen focuses on creating an open space where people can speak honestly about thoughts and feelings. She avoids judgment and works at the clients pace.

In sessions she uses straightforward tools to address unhelpful thinking and to build practical habits. She helps people notice patterns, test small changes, and practice things that lead to better day-to-day functioning. Sessions include planning and simple homework when useful.

Karen also pays attention to motivation and readiness for change. She uses conversational techniques to help people clarify goals, weigh options, and find reasons to move forward when they feel stuck. This can be helpful for career shifts, caregiving stress, or midlife concerns.

Her work often covers communication problems, forgiveness, womens issues, workplace stress, and the strain of caregiving. She adapts methods to each persons needs and focuses on realistic steps that fit into busy lives. Karen practices in Maryland and conducts sessions in English.

To begin, she suggests a brief match and a plan that fits the clients schedule and goals. The process is collaborative and paced to what feels manageable for each person.

How CBT and Motivational Interviewing work online

Karen commonly uses Cognitive Behavioral Therapy, which helps people spot unhelpful thoughts and test new ways of thinking and acting. CBT breaks problems into small steps and offers practical exercises you can try between sessions to reduce anxiety and improve mood.

She also uses Motivational Interviewing to help people clarify what they want and find inner reasons to change. This approach focuses on the client's own goals and helps when motivation feels low or goals seem unclear.

Finding the right approach is part of the work. She will collaborate with each person to choose methods that match their goals, needs, and preferences. Together they set small, manageable steps and adjust the plan as progress is made.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs. Video is useful for in-depth work and visual cues, phone can be easier when bandwidth is limited, live chat fits quick check-ins, and messaging supports brief ongoing contact between sessions. These options make it simpler to fit therapy into work, caregiving, or busy days.