Dr. Lori Malkasian, LMFT

Dr. Lori Malkasian is a licensed marriage and family therapist with a Doctor of Psychology (Psy.D.) in counseling and 20 years of clinical experience. She works with adolescents and adults to address the everyday problems that can feel overwhelming. Her approach is practical and conversational, aimed at finding clearer ways to manage stress and emotional ups and downs.

She helps people who are dealing with depression, anxiety, anger, and challenges at school or work. Parenting stress and family conflict are frequent topics, and she supports parents who want different tools for guiding teens. Addictions and issues related to identity, relationships, and grief are also within her range of focus.

Dr. Malkasian uses several common therapy approaches depending on client needs. Sessions often draw on cognitive behavioral techniques to change unhelpful thinking and on client-centered methods to make space for what matters most to the individual. She also uses emotionally-focused ideas and mindfulness practices when they fit the situation.

In sessions she aims for clear goals and steps that people can use between meetings. She talks through options, practices coping strategies, and helps people try new ways of responding in real life. The tone is direct but supportive, with an emphasis on useful skills rather than jargon.

Her practice is based in South Carolina and she offers services in English. Dr. Malkasian has experience with a broad range of concerns including ADHD, trauma, adoption and foster care issues, career strain, and compassion fatigue. If you are considering help, she can work with you to identify practical next steps.

How her approaches work for online therapy

Dr. Malkasian often draws on cognitive behavioral therapy and client-centered therapy in her work. Cognitive behavioral therapy helps identify unhelpful thoughts and teaches concrete skills to change reactions, which can be useful for anxiety, depression, or anger. Client-centered therapy focuses on listening and understanding your priorities so the plan grows from what matters most to you.

Finding the right approach is part of the process and happens together. She will talk with you about your goals and preferences and recommend which methods to try. That decision is collaborative and can change as things improve or new challenges appear.

Confirm the therapist's current session options before booking, as formats are not listed here. Online therapy can make it easier to fit sessions into a busy life - for example, eliminating travel time, allowing shorter check-ins during a break, or reducing the need to take extra time off work. It also lets people keep therapy consistent when schedules or locations change. Licensed professionals adapt their methods online by assigning practical exercises, practicing new responses in session, and checking progress week to week.