01 · Who Miriam works with

Miriam works with stress, Anxiety, relationship issues and trauma and abuse

Miriam lists 10 specialisms and 14 further focus areas. Specialisms are the subjects Miriam chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Miriam's own words

What Miriam says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Welcome! I am a licensed mental health professional with 16 years experience who is passionate in providing quality core care. I specialize in establishing therapeutic relationship and creating an environment where my clients feel they can be their authentic self. I have experience in providing counseling for coping skills, the complexities of trauma, depression, anxiety and relationship issues. Some of the techniques that I use includes cognitive behavioral therapy, motivational interviewing, psychoeducation and solution-focused therapy.

We all, at our core crave a state of harmony. When this is disrupted we can easily become overwhelmed and may need help getting back on track. I admire your courage in taking the first step of seeking a therapist to place you on the right path in regaining your balance. Let's work together so that we can help you in getting back to you!

Miriam Perrin, on the BetterHelp listing · read 10 Oct 2026

03 · How Miriam works

The 3 approaches Miriam lists, in plain English

These are the clinical methods Miriam lists. The descriptions are Maker Therapy's, not Miriam's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Miriam runs a session.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

Miriam practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Miriam's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Miriam at this point.

2. Naming Miriam specifically

   BetterHelp matches algorithmically by default, so asking for Miriam is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Miriam.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Miriam

Built from what Miriam actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Miriam's - Miriam has not seen them and is under no obligation to answer any of them.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 16 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LMHC

Licensed in

Florida

Licence

FL LMHC MH12427

Licence number

MH12427

Licence expires

31 Mar 2027

NPI

1114219995

Years in practice

16

Gender

Female

Languages

English

International clients

Not accepted

Listed since

23 Jun 2026

07 · Provenance

Where every line on this page came from

Miriam's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 10 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Miriam. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.