Marianne Costales-Roman, LCSW

Marianne Costales-Roman is an LCSW practicing in Illinois with 27 years of experience. She helps people facing stress, anxiety, depression, grief, and the particular challenges that come with midlife change. She also supports those navigating LGBTQ+ issues, parenting concerns, relationship strain, and work-related pressure.

Her style is straightforward and warm. She listens first, then offers clear tools people can use between sessions. Conversations focus on making small, practical changes that fit everyday life. Sessions move at the client’s pace and follow the concerns they bring.

She draws on several approaches to match what each person needs, including cognitive behavioral strategies, acceptance-based work, and emotion-focused methods. This mix helps with mood, communication struggles, and coping when life feels overwhelming. The goal is to build skills and notice what matters most to the client.

Marianne pays attention to culture and identity in therapy. She helps people talk about belonging, family history, adoption or foster care issues, and how background affects current relationships. She also addresses eating, sleeping, and self-esteem problems that often come with stress and life transitions.

Sessions are available in English and Spanish, and she accepts international clients. People who want to begin are asked to use the Start Therapy button, fill out a short matching questionnaire, and schedule based on the therapist’s availability.

How therapy approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice what they value and take small steps toward those values, even when emotions are strong. It is useful for anxiety, low mood, and coping with large life shifts. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thoughts and testing them with real-life experiments to reduce symptoms and improve routines. It is often helpful for anxiety, depression, sleep, and eating concerns. Emotionally-Focused Therapy (EFT) centers on understanding feelings and communication patterns in relationships, and it can help people improve closeness and handle intimacy-related issues.

Finding the right approach is part of the work. Marianne uses these methods collaboratively, tailoring techniques to a person’s goals, background, and daily life. She listens to what matters to each client and adjusts the approach as therapy progresses.

The biography does not specify session formats, so confirm current online options before booking. Many people find online sessions helpful for fitting therapy into a busy schedule, keeping appointments during travel, or checking in during a work break. Online sessions can also make it easier to access someone who speaks English or Spanish or who has experience with midlife transitions and LGBTQ+ concerns. Licensed professionals can help plan a therapy schedule that fits into everyday life.