Miriam Charles-Flores , LCSW

Miriam Charles-Flores is a Licensed Clinical Social Worker (LCSW) with 40 years of clinical experience across outpatient and inpatient hospitals, schools, and private practice. She holds a Master of Social Work (MSW) from Smith College, where she completed extensive training in psychodynamic theory and other clinical orientations, and has developed expertise addressing depression, anxiety disorders, complex trauma, mood disorders, intimacy and relationship concerns, and family conflicts.

Her practice emphasizes a holistic, integrative approach that combines mindful techniques, cognitive-behavioral strategies, attachment-informed perspectives, and client-centered principles to form personalized, evidence-based treatment plans. Miriam uses thorough assessment to identify therapeutic goals and to shape interventions that match each client’s needs, aiming for practical skill-building alongside deeper emotional understanding.

Colleagues and clients have found her to be attentive and empathetic; she listens carefully to encourage client engagement and supports individuals as they clarify their concerns and define personal goals. She believes in each person’s capacity for insight and change and focuses on reducing recurrent patterns of depression and anxiety through psycho-educational strategies, guidance, and problem-solving support.

Miriam practices in Connecticut and offers services in English and Spanish. She is not accepting new clients at this time but does work with international clients when circumstances allow.

Attachment, Client-Centered, and CBT Approaches for Online Care

Miriam blends attachment-based, client-centered, and cognitive-behavioral approaches in ways that translate well to online work. Attachment-Based Therapy explores patterns in close relationships and helps people understand how early bonds affect current intimacy and trust, which can be useful for relationship and abandonment concerns. Client-Centered Therapy emphasizes empathetic listening and collaboration, giving clients space to lead sessions while the therapist supports self-discovery and personal growth. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and building practical strategies to manage anxiety, depression, and stress.

Finding the right approach is a collaborative process - Miriam works with clients to determine which methods best fit their needs, goals, and preferences, and adapts techniques over time to support progress. She emphasizes partnership in developing treatment plans and helping clients try interventions that feel relevant and workable.

Online therapy provides flexibility and accessibility, allowing sessions by video calls, phone, live chat, or text-based messaging to fit varied schedules and circumstances. These options make it easier to maintain continuity of care, access support from different locations, and integrate therapeutic work into daily life with fewer logistical barriers.