Karen Koski-Miller, MD, LCSW-C

Karen Koski-Miller is a licensed therapist practicing in Maryland with 15 years of professional experience. She supports people working through stress and anxiety, relationship challenges, grief and loss, and struggles with motivation, self-esteem, and confidence. Her practice emphasizes an open, nonjudgmental atmosphere where clients are invited to share thoughts and emotions safely and honestly.

Drawing on years of clinical work, she guides clients through the early, often difficult steps toward a more fulfilling and happier life. She acknowledges that seeking change requires courage and approaches each partnership with support and empowerment. Karen also holds professional credentials as an MD, a medical degree, and as an LCSW-C, a clinical social work license that reflects her training and clinical authorization in social work practice.

Clients can expect collaborative care that prioritizes their goals and readiness for change, with encouragement and practical support as they move forward at their own pace.

Therapeutic approaches and online support

Cognitive Behavioral Therapy, or CBT, helps clients identify and change unhelpful thinking and behavior patterns. It is practical and goal-oriented, often used for issues like anxiety, stress, and low self-esteem by teaching skills to reframe thoughts and experiment with new behaviors.

Motivational Interviewing focuses on understanding a person's own reasons for change and strengthening their motivation. It uses a collaborative, nonconfrontational style to help people resolve ambivalence and find internal motivation for changes related to relationships, career goals, or coping with loss.

Finding the right approach is part of the therapeutic process and is decided together. Karen works collaboratively with clients to choose or blend methods that align with their needs, goals, and personal preferences, adjusting the plan as progress unfolds.

Online therapy offers flexible access to licensed professionals through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit therapy into busy schedules, access help from home, and maintain continuity of care when in-person meetings are difficult, while preserving the same collaborative focus on practical strategies and emotional support.