Karen Koski-Miller , MD, LCSW-C

Karen Koski-Miller is licensed in Maryland and brings 15 years of professional experience to her work supporting people through stress, anxiety, relationship challenges, grief and loss, and struggles with motivation, self-esteem, and confidence. She holds an MD, a medical degree, and an LCSW-C, a licensed clinical social work credential in Maryland, which together inform a broad perspective on emotional and behavioral concerns.

Karen emphasizes an open, nonjudgmental atmosphere where thoughts and feelings can be expressed honestly. She supports people who are ready to take the first steps toward change, recognizing that seeking greater fulfillment often requires courage and commitment. Her approach centers on empowering individuals to build practical skills and find clearer direction so they can move toward a more satisfying and resilient life.

Throughout the therapeutic process Karen aims to foster collaboration and gradual progress, helping people identify realistic goals and strengthen the confidence needed to pursue them. She frames therapy as a partnership in which reflection, skill-building, and encouragement work together to support meaningful change.

Therapeutic Approaches and Online Care

Karen Koski-Miller commonly uses Cognitive Behavioral Therapy (CBT) and Motivational Interviewing in her work. CBT focuses on identifying and shifting unhelpful thoughts and behaviors so people can reduce feelings of worry, low mood, and stress while learning practical coping strategies. Motivational Interviewing is a collaborative, goal-oriented approach that helps increase motivation and resolve ambivalence about change, making it useful for building confidence and sustaining new habits.

Finding the right approach is part of the therapeutic process. Karen works collaboratively with each person to determine which methods fit best with their needs, goals, and preferences, and she adjusts the plan as progress and insight develop.

Online therapy makes it easier to connect through video calls, phone sessions, live chat, or text-based messaging, offering flexibility for busy schedules, caregiving responsibilities, or those who need consistent support across life changes. These options help licensed professionals provide ongoing guidance and practical tools in ways that fit daily life and personal routines.