Marianne Costales-Roman

Marianne Costales-Roman is a licensed clinical social worker with 27 years of practice based in Illinois. She helps people who are struggling with stress, anxiety, depression, trauma and abuse, grief, and relationship or family concerns. She also supports clients facing issues around identity, parenting, eating and sleeping, and career changes.

Her style is warm and straightforward. She builds an affirming space that recognizes cultural and identity factors. Sessions focus on clear goals, practical steps, and the client’s own strengths. Marianne works with people on communication, boundaries, and coping skills that they can use between meetings.

Marianne draws on several approaches to shape care to each person’s needs. She uses Trauma-Focused Therapy when past harm affects daily life. She also integrates Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to help manage thoughts and feelings. Client-Centered Therapy guides sessions toward what matters most to each person.

Over the years she has helped people through life transitions like pregnancy, young adulthood, and midlife change. She offers guidance for parenting stress, blended family issues, adoption and foster care concerns, and caregiver fatigue. Marianne also addresses complex areas such as dissociation, abandonment, and family-of-origin patterns.

Sessions are offered in English and Spanish. International clients may be supported. To begin, readers should use the site Start Therapy flow to match and schedule according to the therapist’s availability.

Approaches that translate to online care

Trauma-Focused Therapy helps people process painful memories and reduce their impact on daily life; it often includes grounding skills and paced processing to make difficult material easier to handle. Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking committed actions even when uncomfortable thoughts or feelings are present, which can help with anxiety, depression, and life transitions. Client-Centered Therapy centers sessions on the person's priorities and pace, offering empathic listening and reflective feedback to help people find their own solutions.

Finding the right approach is a collaborative process. Marianne will work with each person to decide which methods fit their goals, needs, and comfort level. That plan can be adjusted over time as progress is made or needs change.

Confirm the therapist's current session options before booking. Online work can make it easier to fit appointments into busy days, reduce travel time, and allow for shorter check-ins when schedules are tight. It can also let people meet with a licensed professional who shares language or cultural experience even if they live elsewhere. Ask about scheduling, language, and any practical preferences during the intake so sessions are arranged to match everyday life.