Rebecca Miller, PhD

Hey, my name is Dr. Becky Miller (she/they)! I am a licensed psychologist in Maryland (#06981). I am authorized to practice telepsychology with folks in multiple states (Alabama, Arizona, Arkansas, Commonwealth of the Northern Mariana Islands, Connecticut, Colorado, Delaware, District of Columbia, Georgia, Florida, Idaho, Illinois, Indiana, Kansas, Kentucky, Maine, Michigan, Minnesota, Mississippi, Missouri, Nebraska, Nevada, New Hampshire, New Jersey, North Carolina, North Dakota, Ohio, Oklahoma, Pennsylvania, Rhode Island, South Carolina, Tennessee, Texas, Utah, Virginia, Washington, West Virginia, Wisconsin, Wyoming) through the Authority to Practice Interjurisdictional Telepsychology (APIT), granted by the PSYPACT Commission (PSYPACT APIT #17253; issued 01/19/2024).

I hold sessions with clients Tuesdays through Saturdays via telehealth; I do not see clients in person at this time. 

My interests, specializations, and roles:

My work includes individual therapy, group therapy, group consultation, and facilitation of training in the areas of LGBTQIA+ and neurodivergent affirming care. In the area of assessment, I have experience conducting culturally-sensitive neuropsychological and psycho-education assessments with adults and children in many settings. 

At The Goode Practice, I serve as Testing + Training Coordinator for doctoral students and post-doctoral fellows seeking advanced clinical training working with BIPOC, LGBTQIA+, and neurodivergent clients. I have served as a monthly consultant at Rutgers University's student counseling center, on their Gender and Sexual Diversity Committee since 2021.

Who is a good fit for therapy with me?

I work best with adults who are seeking support related to identity exploration, queer/trans identities (including guidance and resources related to social, legal, and medical transition), masked autism, OCD, ADHD, trauma, and non-monogamy. Many of my clients struggle with sensory processing concerns, chronic pain and health problems such as Ehlers Danlos Syndrome (EDS) and Postural tachycardia syndrome (PoTS), sexual dysfunction, avoidant/restrictive food intake disorder (ARFID), learning disabilities/dyslexia, executive dysfunction, difficulty with sleep, gastrointestinal diseases, internalized transphobia/homophobia/racism/ableism, difficulty regulating emotional extremes, rejection sensitive dysphoria, extreme demand avoidance, self-harm, and chronic suicidal thinking. It can be challenging to find providers with experience in many of these areas, therefore I make an effort to limit my caseload to folks who fall into some or many of these categories. 

What's therapy like with me?

Many people share that they have worked with therapists who often give them blank stares or are minimally-responsive in session. I have personally experienced this too, and it sucks. I work hard to be an active and engaged therapist to avoid this common issue. Sessions with me include a mix of highly structured skill building (e.g., educational materials, the use of visuals and workbooks), problem-solving, and unstructured processing of emotions, experiences, and thoughts. I am an avid resource collector (e.g., books, workbooks, websites, social media accounts). If I don't have it in my collection, I will go seeking a resource for you! 

The connection and trust you have with your therapist is a vital part of the healing process in therapy. It's important to me that we check in regularly about how sessions feel and make adjustments to ensure that my approach is working for you. This can be a difficult topic to bring up with a therapist if something isn't feeling helpful or right, so I make an effort to initiate these check-ins regularly. I also believe that successful therapy involves my clients developing a comprehensive understanding of their mental health, which may include clarification about your diagnoses, awareness of your patterns of behavior, knowledge about what is happening physiologically within your brain/nervous system, and/or understanding of your unmet needs.

Offerings:

I currently offer informal autism and OCD assessments (without a full psychological report), letters for gender affirming surgeries (Including assistance with a second letter writer, when necessary for genital surgery), accommodation letters for work/school settings, and other documentation of disabilities to better support client's day-to-day functioning. I also supervise doctoral trainees who are able to provide psychological assessments with full psychological reports. 

I facilitate a virtual Queer & Neurodivergent group for adults, twice per month. See the group therapy section of our website for more details about this group.

Identities I hold:

Many prospective clients seek work with me due to our shared identities and lived-experiences. I recognize that this is an important component of feeling safe, seen, and cared for by your therapist. I currently use the following labels to describe myself: White, Queer, Pansexual, Genderqueer, fat, and neurodivergent. I have personal experience with non-monogamy, and live with a learning disability (reading), and chronic pain.