Miriam Charles-Flores , LCSW

Miriam Charles-Flores is a Licensed Clinical Social Worker (LCSW) with four decades of clinical experience. She also holds an MSW - a Master of Social Work - from Smith College, where she received extensive training in psychodynamic theory alongside other clinical orientations. Over the years she has practiced in outpatient and inpatient hospital settings, schools, and private practice, developing expertise in depression, anxiety disorders, complex trauma, mood disorders, intimacy and relationship concerns, and family conflict.

Her approach weaves evidence-based methods with mindful techniques and cognitive-behavioral interventions to create individualized treatment plans. She emphasizes thorough assessment to clarify therapeutic goals and to design interventions tailored to each person’s needs. Miriam values an in-depth exploration of personal history and current patterns to inform a clear, goal-focused plan for change.

Known for a compassionate and attentive style, she listens carefully to encourage client participation and self-understanding. Her work is grounded in the belief that people possess inner resources to identify conflicts and move toward resolution, and she guides clients with psychoeducation, practical problem solving, and supportive coaching aimed at reducing repetitive cycles of depression and anxiety.

Therapeutic Approaches and Online Care

Miriam integrates client-centered work and cognitive-behavioral strategies to support change in online sessions. Client-centered therapy focuses on creating a respectful, nonjudgmental space where the therapist follows the client’s lead to build insight and self-direction - this approach is helpful for relationship concerns, self-esteem, and life transitions. Cognitive Behavioral Therapy (CBT) helps clients identify and shift unhelpful thoughts and behaviors through practical tools and skills - it is often effective for anxiety, depression, and coping with stressful life situations. Attachment-based ideas inform her formulation of relationship patterns and can be used to address intimacy issues and family dynamics by exploring early relational experiences and current attachment needs.

Choosing the right approach is a collaborative process. Miriam works with each person to assess needs, clarify goals, and select methods that fit their preferences and circumstances, adjusting the plan as therapy progresses. She views therapy as a partnership focused on practical progress and personal understanding.

Online therapy offers flexibility in how people connect - video calls, phone sessions, live chat, or text-based messaging enable continuity of care across locations and schedules. For many clients, these options make it easier to attend sessions regularly, apply skills between meetings, and maintain momentum while balancing work, family, and other life demands.