Rebekah Machiela, MD, LCSW-C

Rebekah Machiela is a licensed therapist in Maryland who brings 13 years of clinical experience working in medical hospital settings. She holds an MD, indicating a medical degree, and an LCSW-C, a clinical social work license, credentials that inform her integrated approach to complex life challenges. Rebekah has focused experience supporting people through grief, trauma, chronic illness and disability, caregiver burnout, postpartum adjustment, and end-of-life concerns, as well as the stress and anxiety that come with major life transitions.

She also works extensively with relationship difficulties, offering practical communication strategies to improve connection and reduce conflict. Rebekah favors a warm, empathic style, meeting each person where they are while treating them as the expert on their own story. She weaves together multiple therapeutic methods to structure conversations and teach coping tools that foster growth, self-awareness, reflection, and self-compassion. Whether someone is new to therapy or seeking a different provider, Rebekah aims to come alongside clients to support their goals and help them build sustainable skills for the challenges they face.

Approaches that guide online care

Rebekah often uses client-centered therapy, which emphasizes a warm, nonjudgmental relationship and helps people explore their values, feelings, and goals at their own pace. This approach supports self-awareness, self-compassion, and personal growth and can be helpful for stress, relationship concerns, and life transitions.

She also employs cognitive behavioral therapy or CBT, a practical approach that links thoughts, feelings, and behaviors and teaches concrete strategies to manage anxiety, depression, and coping with chronic illness. Narrative therapy is another tool she uses to help clients reframe difficult experiences by exploring the stories they tell about themselves and their relationships.

Finding the right approach is a collaborative process. Rebekah works with each person to identify which methods best match their needs, goals, and preferences and adapts her style as therapy progresses.

Online sessions are offered via video calls, phone, live chat, or text-based messaging, providing flexibility for scheduling and access. These options make it easier to fit therapy into busy lives, maintain continuity of care during transitions, and receive support from licensed professionals without needing to travel.