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Marianne Costales-Roman

Therapist profile

Marianne Costales-Roman, LCSW

Illinois

Illinois LCSW - Family and parenting concerns

Continue with Marianne

About

  • Stress and anxiety
  • Parenting support
  • LGBTQ issues

About Marianne

Marianne Costales-Roman is an Illinois licensed clinical social worker, LCSW, with 27 years of practice. She focuses on stress, anxiety, depression, parenting concerns, and LGBTQ-related issues. She works with adults who are dealing with relationship strain, grief, trauma, or big life changes.

She uses straightforward conversation and practical tools. Sessions often involve noticing patterns, trying small changes, and talking through what feels stuck. Marianne draws on approaches such as acceptance and commitment therapy, cognitive behavioral therapy, and emotionally-focused work to help people clarify their values and handle difficult feelings.

Her background includes long experience supporting people through family-related concerns, adoption and foster care issues, blended family dynamics, and caregiver stress. She also helps with issues like body image, eating and sleeping concerns, and coping with work pressure. Those facing abandonment, codependency, or family of origin problems may find focused attention on relationship patterns.

Treatment often addresses communication problems, commitment and control issues, dissociation, and the impact of trauma and abuse. Marianne also supports people coping with bipolar symptoms, ADHD-related difficulties, and compassion fatigue. She combines skills-based work with time to process emotions and practical planning.

Sessions are offered in English and Spanish and she accepts international clients. Cost varies by location and sessions are billed through a subscription that can be canceled at any time. To start, people complete a short matching questionnaire and schedule a first session.

How sessions work

Therapeutic approaches used in online sessions

Acceptance and Commitment Therapy, or ACT, focuses on helping people clarify what matters to them and take actions that align with those values. It is often used when someone wants to reduce avoidance and live more in line with personal priorities.

Cognitive Behavioral Therapy, CBT, looks at how thoughts, feelings, and behaviors interact. It is practical and problem-focused, useful for anxiety, depression, sleep and eating-related difficulties, and stress management.

Emotionally-Focused Therapy centers on identifying and changing emotional responses that affect relationships. It can help people understand patterns in communication and attachment-related struggles.

Finding the right approach is part of the work. Marianne will discuss these methods and help decide which fits best given goals, preferences, and what feels most helpful. That decision is collaborative and can be adjusted as therapy progresses.

The therapist's profile does not list specific session formats, so confirm which online options are available before booking. Online sessions can make it easier to fit therapy into a busy life - for example a shorter check-in during a lunch break, or avoiding travel time. They also allow continued work while someone is between local providers or living abroad. Licensed professionals can adapt exercises, homework, and communication to the online setting to keep sessions practical and focused on everyday changes.

Areas of focus

Areas of expertise

Primary focus

Stress, AnxietyLGBTParenting issuesAnger managementDepression

Also works with

Relationship issuesFamily conflictsTrauma and abuseGriefIntimacy-related issuesEating disordersSleeping disordersSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAutism and Asperger SyndromeBlended family issuesBody imageCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesDissociationDivorce and separationEating and food-related issuesEmptinessFamily of origin issuesFamily problemsForgivenessGender dysphoriaGuilt and shameImmigration issuesImpulsivityInfidelityIsolation / lonelinessLife purposeMidlife crisisMoney and financial issuesMulticultural concernsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSexualityWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Psychodynamic TherapySolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

27+ years

Listed in

Illinois

Languages

English, Spanish

Questions

Frequently asked questions

What kinds of family or parenting concerns are addressed

She helps people with blended family issues, adoption and foster care questions, caregiver stress, and general parenting strain.

How would you describe her therapeutic style

She uses direct conversation, practices to change unhelpful patterns, and time to process feelings in session.

How much experience does she have

She has 27 years of clinical experience working with adults on relationship and life transition issues.

What are her credentials and where is she based

She is an LCSW licensed in Illinois and practices with that credential.

Does she offer sessions in other languages or to people outside the US

Sessions are offered in English and Spanish and she accepts international clients.

What session formats are used

The original profile does not list specific session formats; confirm current session options before booking.

How much do sessions cost

Cost varies with location and sessions use a subscription billing model that can be canceled at any time.

How do I begin working with her

Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.

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Marianne Costales-Roman

Continue with Marianne