Online Therapy in Maryland
Online therapy for adults with neurodivergence, ADHD, anxiety, trauma or chronic stress in Maryland
Bethesda • Silver Spring • Baltimore • Rockville • Columbia • Towson • Annapolis • and statewide
I’m Dr. Katie Carhart, a licensed clinical psychologist offering telehealth therapy for adults throughout Maryland. I specialize in working with high-functioning, overwhelmed, and emotionally sensitive adults who want deeper support for burnout, anxiety, ADHD, chronic stress, and nervous system dysregulation through an integrative, somatic-informed approach.
Many adults come to therapy when the cost of constantly pushing through becomes too high. Therapy offers space to understand the emotional and nervous system patterns beneath burnout and begin shifting out of survival mode into something more steady and sustainable.
What I Help With
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Many adults I work with in Maryland are balancing demanding careers, caregiving responsibilities, and high expectations, often in fast-paced or high-pressure environments. Even when life looks “successful” from the outside, it can feel overwhelming internally. Many adults here juggle:
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intense workloads
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long hours or unpredictable schedules
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caregiving responsibilities
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emotional labor
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high expectations (internal and external)
Even when life looks “successful” from the outside, it can feel overwhelming internally.
I support adults navigating:
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Burnout and emotional exhaustion
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Anxiety, chronic stress, and difficulty slowing down
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ADHD or suspected ADHD, including executive functioning challenges
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Perfectionism, overthinking, and high self-criticism
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Freeze, shutdown, or stress reactivity
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Difficulty identifying needs or setting boundaries
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Feeling disconnected, overwhelmed, or misaligned
Many people reach out when they realize they can't “push through” anymore and want something deeper than symptom management.
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My Approach (What Makes Therapy With Me Different)
My approach to therapy is integrative, somatic, and neurodivergence-affirming.
You can read more about how I work here.
I combine:​
✔ Polyvagal Theory & Nervous System Regulation
Understanding activation patterns, shutdown states, and how your body holds stress.
✔ Somatic and Embodied Approaches
Gentle, practical mind–body strategies that support regulation and grounding.
✔ ADHD and Executive Function Support
Practical, shame-free tools for planning, follow-through, transitions, and energy management.
✔ Depth-Oriented Insight Work
Exploring emotional patterns, attachment themes, and internal narratives that shape your experience.
✔ CBT, ACT, and Mind-Body Tools
Skill-based approaches for anxiety, avoidance, and overwhelm.
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This approach is designed to help you shift from “understanding the problem” to actually feeling different in your body, emotions, and daily life.
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How Online Therapy Works in Maryland
As a PSYPACT-authorized psychologist, I provide secure telehealth therapy for adults anywhere in the state.
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Sessions are held via a secure, HIPAA-compliant platform:
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90 minute initial evaluation
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50-minute weekly or biweekly sessions
Telehealth is ideal for adults balancing demanding careers, commutes, caregiving, or unpredictable schedules.​
Therapy Intensives for Maryland Clients
I also offer focused therapy intensives for clients who want structured support without months of weekly therapy.
Learn more about therapy intensives here.
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• Somatic / Polyvagal Reset Intensive
For anxiety, trauma responses, chronic stress, emotional overwhelm, or burnout.​
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• Executive Function / ADHD Reset Intensive
For time blindness, planning challenges, avoidance cycles, overwhelm, and follow-through struggles.​
Each intensive includes:
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a 4-hour therapeutic deep dive
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personalized strategies & skills
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a tailored PDF action plan
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a 45-minute follow-up session within 2–4 weeks
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These intensives can be especially helpful for Maryland professionals whose schedules make weekly therapy difficult. We can also tailor an intensive to include the specific skills/concerns you are most interested in.
Psychological Testing & ADHD Evaluations in Maryland
I also provide telehealth-based psychological testing and adult ADHD evaluations for Maryland clients when appropriate. These evaluations are designed to offer thoughtful diagnostic clarity and practical recommendations, particularly for adults who feel their symptoms have been masked, misunderstood, or misattributed over time.
Learn more about testing and assessment here.
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Who I Work Best With
My approach is a strong fit for adults who:
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are high-achieving but emotionally overloaded
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feel stuck or disconnected from themselves
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have ADHD or executive functioning difficulties
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live in chronic stress or “on edge” mode
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have tried therapy before but want deeper, more integrative work
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value clarity, structure, and emotional insight
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want to feel grounded, aligned, and regulated
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appreciate a warm, collaborative, nonjudgmental space
If you’re ready to explore an approach that supports both your nervous system and your daily functioning, I’m here to help.
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Other Locations I Work Within​​
I provide telehealth services across most PSYPACT-participating states. If you’re located outside of Maryland, you can view all locations here.
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Insurance & Fees
I am an out-of-network provider in Maryland and can provide detailed monthly superbills for reimbursement depending on your insurance plan. I also parter with Reimbursify to make it easier for you to submit documentation for reimbursement. You have flexibility in choosing the session length and format that meet your needs.
Ready to Get Started?
If you're a Maryland adult seeking integrative, somatic, or neurodivergence-informed therapy, intensives or an evaluation, I’d be honored to support you.​ Contact me to schedule a free consultation and explore if working together feels right or to figure out where to start.
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Frequently Asked Questions
Do you offer online therapy for clients in Maryland?
Yes. I provide secure, HIPAA-compliant telehealth therapy for adults located anywhere in Maryland. Sessions are conducted fully online, offering flexibility while maintaining clinical depth and continuity of care.
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Are you authorized to practice in Maryland?
Yes. I am authorized to provide telepsychology services to clients in Maryland, including through PSYPACT when applicable.
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Do you offer ADHD evaluations for adults in Maryland, particularly late-diagnosed women?
Yes. I provide comprehensive ADHD evaluations for adults in Maryland, with a particular focus on women who were missed or misdiagnosed earlier in life. These evaluations take into account executive functioning, emotional regulation, trauma history, and lifelong patterns, not just surface-level symptoms.
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What is your approach to therapy?
My approach is integrative and whole-person focused. I combine evidence-based modalities such as CBT and CPT with parts-informed (IFS-informed) work, as well as somatic and polyvagal approaches. This allows us to address thoughts, emotions, relationships, and nervous-system patterns together, rather than treating concerns in isolation.
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Who is a good fit for your practice?
My practice is well suited for adults who are looking for a more active and collaborative therapy experience. I offer a directive but flexible approach that integrates practical skills with deeper exploration of beliefs, attachment patterns, interpersonal dynamics, and nervous-system safety. Many Maryland clients come to me after trying therapy in the past and feeling stuck, and are seeking a more tailored and integrative approach.
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What specialty areas do you focus on in therapy?
In my work with Maryland clients, I often focus on trauma and trauma-related symptoms, ADHD and executive-functioning challenges, anxiety, burnout, and relationship or attachment patterns. Many clients are navigating chronic stress or long-standing patterns that no longer feel workable. My approach is designed to address both immediate concerns and the deeper nervous-system and relational factors contributing to them.