Karen Koski-Miller
Compassionate clinician focused on practical change
MD, LCSW-C Maryland
- Experience
- 15 years in practice
- Focus areas
- Stress, Anxiety, Relationship, Grief
- Approaches
- Cognitive Behavioral Therapy (CBT), Motivational Interviewing
- Languages
- English
About Karen
Karen Koski-Miller is an experienced clinician who helps people navigate stress, anxiety, relationship challenges, grief, self-esteem concerns, and career-related issues.
Background and approach
With 15 years of practice and dual credentials as an MD and an LCSW-C, she draws on her clinical background to offer practical strategies and compassionate support tailored to each person's situation. Her approach emphasizes collaborative problem-solving and skill building, using methods like Cognitive Behavioral Therapy and motivational interviewing to address thoughts, behaviors, and motivation.
Karen cultivates a respectful, nonjudgmental atmosphere where clients can explore difficult feelings, improve communication, and build resilience. She also addresses caregiver stress, workplace difficulties, midlife transitions, forgiveness work, and women’s issues when relevant.
Based in Maryland, she offers multiple ways to connect that fit modern schedules, and she works with clients to set realistic goals and track progress. Karen frames therapy as a partnership focused on practical tools and personal growth, supporting clients as they take steps toward greater well-being and more satisfying relationships.
How evidence-based approaches translate to online care
Karen uses Cognitive Behavioral Therapy to help clients identify unhelpful thinking patterns and develop concrete skills to reduce anxiety, manage stress, and improve mood. CBT typically involves working on thoughts, behaviors, and problem-solving strategies that can lead to more effective coping.She also draws on Motivational Interviewing to explore a person’s readiness for change and to strengthen internal motivation. This conversational, client-centered method helps clarify goals and resolve ambivalence when clients are considering changes in relationships, career direction, or self-care habits.
Choosing the right approach usually happens together; Karen treats therapy as a collaborative process and will help determine which methods fit a client's needs, preferences, and goals. She emphasizes practical steps and tracks progress so adjustments can be made as goals evolve.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which provide flexibility for busy schedules and different comfort levels. These options make it easier to maintain continuity of care, access ongoing support between sessions, and find a rhythm of communication that works for each individual.
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Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
15+ years
Licensed
Maryland
Languages
English