Rebekah Machiela , MD, LCSW-C

Rebekah Machiela is a licensed therapist practicing in Maryland who brings compassion and practical skills to people navigating major life challenges. With 12 years of experience providing counseling in medical hospital settings, she has developed particular expertise supporting those facing grief, trauma, chronic illness or disability, caregiver burnout, postpartum adjustment, and end-of-life concerns. Her background also includes helping clients manage stress and anxiety tied to life transitions and offering guidance for relationship difficulties and communication challenges.

Holding an MD (Doctor of Medicine) and an LCSW-C (licensed clinical social worker), Rebekah blends clinical knowledge with a client-centered stance. She approaches each person as the expert on their own story, working with warmth and empathy to understand the context of their experiences. Rebekah draws from multiple therapy styles to structure conversations and teach practical coping techniques that promote progress toward individual goals.

She emphasizes growth, self-awareness, reflection, and self-compassion as central elements of therapeutic work. Whether someone is starting therapy for the first time or seeking a new provider, Rebekah aims to come alongside them and offer steady support as they pursue meaningful change.

Therapeutic Approaches and Online Care

Rebekah often uses client-centered therapy to create a supportive space where the client's priorities guide each session - this approach focuses on listening, empathy, and helping people explore their goals and values to address stress, relationship concerns, or life changes. She also draws on cognitive behavioral therapy (CBT), which helps identify unhelpful thought patterns and develop concrete strategies for managing anxiety, low mood, and coping with chronic health issues. Narrative therapy is another approach Rebekah employs to help clients reframe and make sense of their personal stories, which can be especially helpful for grief, trauma, and transitions.

Finding the right approach is part of the therapeutic process, and Rebekah works collaboratively with clients to determine which methods fit their needs, goals, and preferences. She tailors sessions over time, combining techniques to best support recovery, resilience, and clearer communication.

Online therapy with Rebekah is offered through video calls, phone sessions, live chat, or text-based messaging, providing flexibility for busy schedules and those managing health or caregiving responsibilities. These options make it easier to maintain consistency in care and access support from home or while traveling, helping clients stay engaged as they work toward their goals.