Marianne Costales-Roman
Compassionate, experienced therapist for life transitions
About Marianne
Marianne Costales-Roman is a licensed clinical social worker with 27 years of experience helping people manage stress, anxiety, depression, trauma, relationship and family concerns, and a variety of life transitions.
Background and approach
She draws on long experience with issues related to LGBT identity, parenting challenges, grief, intimacy, eating and sleeping difficulties, self-esteem, career changes, bipolar disorder, ADHD, and compassion fatigue, among other areas of focus.
Marianne emphasizes an affirming, culturally aware stance and supports clients dealing with abandonment, adoption and foster care questions, autism and Asperger Syndrome, blended family issues, body image, caregiving strain, codependency, communication and control problems, dissociation, and family of origin dynamics. Her practice blends evidence-based therapies and person-focused care.
Marianne uses Acceptance and Commitment Therapy to help clients clarify values and take meaningful action, Cognitive Behavioral Therapy to address unhelpful thinking and behavior patterns, Dialectical Behavior Therapy skills for emotional regulation, Emotionally-Focused Therapy for relational work, and client-centered methods that prioritize the person’s own experience.
Licensed in Illinois as an LCSW, she offers services in both English and Spanish and accepts international clients, adapting her work to varied cultural backgrounds and needs.
Therapeutic Approaches and Online Access
Marianne commonly integrates Acceptance and Commitment Therapy (ACT) and Cognitive Behavioral Therapy (CBT) into her work. ACT helps clients identify personal values and take committed steps toward a meaningful life while learning to relate differently to painful thoughts and feelings. CBT focuses on identifying and changing unhelpful thought patterns and behaviors to reduce symptoms of anxiety, depression, and stress.Finding the right approach is treated as a collaborative process. Marianne works together with each person to assess goals, preferences, and needs, and she adapts methods over time so the approach fits the client rather than forcing a single model on every situation.
Online therapy is offered through video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These options make it easier to fit sessions into busy schedules, continue work during life transitions, and maintain therapeutic momentum between in-person commitments. Licensed professionals can use these formats to deliver the same therapeutic principles and skills-based work as in traditional settings, while accommodating client preferences and logistical needs.
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Specialties and expertise
Top specialties
- Stress, Anxiety
- LGBT
- Parenting issues
Also works with
- 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