About Marianne
Marianne Costales-Roman is a licensed clinical social worker with 27 years of experience helping people manage stress, anxiety, depression, grief, and trauma. She also supports clients facing relationship friction, parenting strain, intimacy concerns, and issues tied to identity and LGBTQ experiences. Marianne offers sessions in English and Spanish and accepts international clients.
She keeps sessions straightforward and practical. Marianne focuses on clear communication and small, doable steps people can try between sessions.
Background and approach
She listens for what matters most to each person and builds on their strengths. Her background includes long experience working with people through life transitions like career shifts, pregnancy, and changes in family structure. Marianne also addresses eating and sleep problems, self-esteem struggles, ADHD-related challenges, and burnout or compassion fatigue.
Therapy draws from approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Client-Centered methods. Marianne blends these styles to match a person’s needs, using skills practice, values work, and emotion-focused conversation. Sessions can take the form of video calls, phone sessions, live chat, or text-based messaging.
Fees vary by location and use a subscription model that can be canceled at any time. To begin, a person selects the Start Therapy button, completes a short matching questionnaire, and schedules according to therapist availability.
How Marianne’s Approaches Translate to Online Work
Acceptance and Commitment Therapy helps people clarify what matters to them and take small steps toward those values while learning to live with difficult thoughts. It is useful for anxiety, stress, and life changes. Cognitive Behavioral Therapy focuses on identifying unhelpful thoughts and testing new behaviors to reduce symptoms like worry, low mood, and sleep disruption. Client-Centered Therapy centers the conversation on the person’s experience, using reflective listening and empathy to build trust and personal insight.Finding the right approach is a collaborative process. Marianne will talk with each person about goals, what has helped before, and what feels most practical. Together they decide which techniques to try and adjust the plan as progress or new issues emerge.
Online therapy offers practical flexibility: video calls for face-to-face conversation, phone sessions when bandwidth is limited, live chat for shorter check-ins, and text messaging for quick reflections between meetings. These options make it easier to fit sessions into busy days, keep continuity during travel, and use different formats for skill practice and emotional support.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- LGBT
- Parenting issues
Also works with
- Abandonment
- ADHD
- Adoption and foster care
- Anger management
- Autism and Asperger Syndrome
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Dissociation
- Divorce and separation
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Immigration issues
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Money and financial issues
- Multicultural concerns
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 27 years
- Licensed
- Illinois
- Languages
- English, Spanish