About Marianne
Marianne Niles is a licensed clinician with over 31 years of experience supporting people through difficult life changes. She focuses on anxiety, depression, trauma and abuse, stress, relationship concerns, and practical coping for major transitions. Her work often addresses everyday pressures like workplace stress, feelings of isolation, and questions about life purpose.
She also helps people who are dealing with long-term illness, caregiving strain, adoption and foster care issues, or changes related to aging.
Background and approach
Marianne pays attention to how past family patterns affect current relationships and behavior. Therapy sessions aim to be collaborative and straightforward. Marianne listens, helps sort out what matters most, and together they build coping strategies that fit daily life.
She supports people in processing strong emotions and developing clearer communication skills. Her approach is flexible and practical. She helps clients break problems into manageable steps, practice new ways of responding, and set realistic goals.
Marianne pays attention to both mood and the situations that keep problems going. People who choose her typically want steady support through transitions and help handling anxiety or trauma symptoms. She offers care with respect for each person's pace and priorities, helping them regain a sense of control and purpose.
Marianne sees people in Virginia and works in English. Her long experience shapes a calm, steady style focused on practical progress rather than quick fixes.
How therapeutic approaches translate to online care
Evidence-based techniques are used in clear, practical ways. For example, cognitive approaches focus on identifying unhelpful thoughts and trying different ways of thinking to reduce anxiety and depression symptoms. These methods help people notice patterns and test new responses in daily situations.Another common set of techniques centers on emotion processing and coping skills. This work helps people name strong feelings, practice calming tools, and develop step-by-step plans for difficult moments like panic or intrusive memories. It is useful for trauma-related reactions and ongoing stress management.
Choosing the right approach is a shared process. The therapist will talk with each person about goals, preferences, and what feels most useful, then adjust methods as needed. Collaboration helps ensure the plan fits the client's life and priorities.
Online therapy offers flexibility for different needs. Video calls allow face-to-face conversation when visual cues matter. Phone sessions can work when bandwidth is limited or a shorter check-in is preferred. Live chat and text-based messaging let people stay connected between sessions or use brief check-ins during busy days. These options make it easier to fit therapy into work, caregiving, or travel schedules while keeping treatment consistent.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- Adoption and foster care
- Aging and geriatric issues
- Avoidant personality
- Blended family issues
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Communication problems
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Family of origin issues
- Family problems
- Fertility issues
- Forgiveness
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Seasonal Affective Disorder (SAD)
- Self-harm
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Experience
- 31 years
- Licensed
- Virginia
- Languages
- English
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