- Emotionally-Focused Therapy
- ACT and CBT methods
- English and Spanish
About Marianne
Marianne Costales-Roman is an Illinois licensed clinical social worker (LCSW) with 27 years of clinical experience. She supports people facing stress, anxiety, depression, relationship strain, grief, trauma and abuse, and issues related to LGBT identity. She also addresses parenting concerns, anger, intimacy-related matters, eating and sleeping problems, and challenges with self-esteem and career changes.
Her style is direct and person-centered. She listens for the emotions beneath the problem and helps people name them. Sessions focus on improving communication, recognizing patterns that cause pain, and building practical skills for day-to-day life. Marianne uses Emotionally-Focused Therapy (EFT) alongside approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Client-Centered Therapy, and Dialectical Behavior Therapy.
Marianne works with concerns that often come from family of origin wounds, abandonment, adoption and foster care histories, blended family issues, and caregiver stress. She also addresses body image, codependency, commitment and control issues, dissociation, and eating and food-related problems. Her practice includes support for people managing bipolar symptoms, ADHD, and compassion fatigue.
She offers services in English and Spanish and accepts international clients. Fees vary with location and use a subscription model that can be canceled at any time. To begin, clients are asked to use the site button to view online therapy options, complete a short matching questionnaire, and schedule a first session.
Marianne combines long-term clinical experience with practical tools. Sessions aim to make feelings clearer, reduce reactivity, and improve how people relate to others and themselves. She helps clients set realistic steps for change and works collaboratively to track progress.
How Marianne uses EFT, ACT and CBT in remote sessions
Emotionally-Focused Therapy (EFT) focuses on the emotions that shape relationship patterns and personal reactions. In practice this means identifying core feelings, slowing down heated moments, and finding clearer ways to express needs and attachment concerns. Acceptance and Commitment Therapy (ACT) emphasizes accepting difficult thoughts while choosing actions that match personal values. It can help with anxiety, depression, and decision-making by teaching practical steps to move toward valued goals. Cognitive Behavioral Therapy (CBT) looks at how thoughts affect feelings and behavior and offers concrete exercises to shift unhelpful thinking and routines.Choosing an approach is collaborative. The therapist will listen to what matters most to the client, discuss different methods, and adjust the plan as work proceeds. Clients and the therapist decide together which tools to try and when to change direction based on what the client needs and prefers.
Session logistics should be confirmed before booking since specific formats are not listed here. Please use the See online therapy options button to view current choices. Online sessions can make it easier to fit therapy into a busy life, reduce travel time, and allow shorter check-ins when needed. They also let people continue work when relocating or managing time zones, while the therapist focuses on clear emotional work and practical skills during each session.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
27+ years
Listed in
Illinois
Languages
English, Spanish
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, depression, trauma and abuse, grief, relationship and intimacy issues, parenting concerns, and related challenges listed in her specialties.
How would you describe her therapeutic style?
Her style is person-centered and focused on emotions. She helps people name feelings, notice patterns, and build communication and coping skills.
How much clinical experience does she have?
She has 27 years of experience as a clinician working with a broad range of emotional and life-transition concerns.
What are her credentials and where is she based?
She is an Illinois LCSW and practices from Illinois.
Which languages are offered and are international clients supported?
Sessions are offered in English and Spanish, and she accepts international clients.
What session formats are available?
Please confirm current session options before booking by using the See online therapy options button; the profile does not list specific formats.
How are fees structured?
Fees vary with location and services use a subscription that can be canceled at any time.
How do I get started with her?
Click the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.