Karen Koski-Miller , MD, LCSW-C

Karen Koski-Miller is a licensed Maryland clinician with 15 years of professional experience who supports adults navigating stress, anxiety, relationship challenges, grief, self-esteem concerns, and career questions. She holds an MD, which denotes a medical degree, and an LCSW-C, which indicates a licensed clinical social work credential, bringing both clinical training and practical therapeutic experience to her work.

Her practice focuses on helping people cope with life transitions, caregiver stress, communication difficulties, and the emotional work around forgiveness and midlife change. She also addresses issues that disproportionately affect women and workplace-related stress. In sessions she emphasizes motivation, confidence building, and practical strategies to manage everyday pressures.

Karen creates an open, nonjudgmental space where thoughts and feelings can be explored honestly. She frames the therapeutic process as a collaborative effort, supporting and empowering individuals as they take steps toward a more fulfilling and balanced life. Seeking change takes courage, and she partners with clients to identify goals and develop realistic steps toward growth.

Practical Therapeutic Approaches for Online Care

Karen Koski-Miller uses evidence-informed methods to help clients make meaningful changes. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thinking and behavior patterns and replacing them with more constructive alternatives; it is frequently used for stress, anxiety, and mood-related concerns and includes practical skills that clients can apply between sessions. Motivational Interviewing is a collaborative, goal-oriented style that helps people resolve ambivalence and strengthen their own motivation to change - it can be especially helpful for enhancing confidence, motivation, and commitment to personal goals.

Finding the right approach is part of the therapeutic journey, and Karen works with each person to determine which methods fit their needs, goals, and preferences. That process is collaborative - she helps clients weigh options, try strategies, and adjust the plan over time to align with what feels most effective.

Online therapy with Karen is offered through video calls, phone sessions, live chat, and text-based messaging to provide flexible access to care. These options make it easier to fit therapy into busy schedules and support ongoing communication between appointments, so clients can engage in the work in ways that suit their lives and routines.