About Marianne
Marianne Costales-Roman is a licensed clinical social worker (LCSW) with 27 years of experience helping people manage stress, anxiety, depression, grief, and ADHD. She creates a warm, affirming space and listens first to understand each person's needs. She works with clients on relationship concerns, intimacy issues, and challenges tied to identity and LGBT experiences.
Her sessions focus on practical steps people can use between meetings. She helps clients improve communication, cope with strong emotions, and build routines for better sleep and eating.
Background and approach
Marianne also guides people through major life changes like career transitions, separation, and caregiving stress. She draws on several therapy styles to suit different problems. Cognitive Behavioral Therapy (CBT) is used to spot and change unhelpful thinking and behavior patterns.
Acceptance and Commitment Therapy (ACT) helps people clarify values and take committed action even when feelings are hard. Client-Centered work keeps the relationship genuine and respectful, and Dialectical Behavior Therapy (DBT) offers concrete skills for emotion regulation and distress tolerance. Emotionally-Focused Therapy (EFT) is used when attachment and relationship patterns need attention.
Marianne mixes these methods to match each person she sees. Sessions are offered in English and Spanish for people in Illinois and beyond. She supports those dealing with parenting stress, career strain, trauma and abuse, body image, and compassion fatigue.
Marianne aims to help people find steady, manageable ways to move forward.
Therapeutic approaches for online care
Marianne commonly uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in online sessions. CBT focuses on identifying thoughts and behaviors that get in the way and then practicing new, more helpful patterns to reduce anxiety, improve mood, and change habits. ACT helps people clarify what matters most to them and take steps toward those values even when difficult feelings show up.Finding the right approach is part of the work. She collaborates with each person to decide which methods fit their goals, needs, and preferences, and adjusts the plan over time based on what is helping. That collaborative stance means clients are active partners in choosing techniques and setting priorities.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls are useful for in-depth conversation and visual cues, phone sessions can be easier when bandwidth is limited, chat works well for brief check-ins, and messaging supports ongoing reflection between sessions. These options offer flexibility for people balancing work, family, or caregiving responsibilities.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- LGBT
- Parenting issues
Also listed
- 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
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