Karen Koski-Miller , MD, LCSW-C

Karen Koski-Miller is a Maryland-based clinician who helps people manage stress, anxiety, relationship strain, grief, self-esteem concerns, and career questions. She brings 15 years of professional experience and combines medical and social work perspectives as an MD and LCSW-C. Her approach is straightforward and focused on practical steps that can make daily life feel more manageable.

She creates a calm, nonjudgmental space where people can talk through worries and sort out priorities. Sessions center on clear goals and usable tools rather than jargon. She encourages small, steady changes so progress feels achievable.

Karen often uses Cognitive Behavioral Therapy techniques to identify unhelpful thinking patterns and build different habits. She also draws on Motivational Interviewing to boost readiness for change and to help clients find their own reasons to act.

Many clients seek her help for caregiver stress, workplace tension, midlife transitions, and issues that commonly affect women. She works with each person at their pace and tailors strategies to real life demands like work and family responsibilities.

Practical problem solving and honest conversation are central to her style. She helps people clarify values, repair communication, and regain confidence after loss or setback. The overall goal is steadier coping, clearer choices, and more satisfying everyday routines.

Practical approaches for online therapy and change

Karen blends Cognitive Behavioral Therapy and Motivational Interviewing in online sessions to help people make clear, practical shifts. Cognitive Behavioral Therapy focuses on spotting unhelpful thoughts and testing them with real-life experiments to change feelings and behavior. It is useful for anxiety, stress, and confidence work.

Motivational Interviewing centers on conversation that uncovers a persons own reasons to change. It is helpful when someone feels stuck or unsure about taking the next step. Together these approaches aim to build momentum and realistic action plans that fit daily life.

Finding the right approach is part of the work. She collaborates with each person to choose methods that match their goals, pace, and preferences. That joint process helps make therapy feel more relevant and doable.

Online therapy offers flexible options like video calls, phone sessions, live chat, and text-based messaging. Video lets you read facial cues during conversations, phone can work when bandwidth is limited, and messaging or chat can fit quick check-ins or days when a shorter contact helps. These formats make it easier to fit sessions into busy schedules and ongoing responsibilities while still using CBT and motivational strategies effectively.