Online Therapy in Maryland
Online therapy for high-achieving, sensitive, or neurodivergent adults across Maryland
Bethesda • Silver Spring • Baltimore • Rockville • Columbia • Towson • Annapolis • and statewide
I’m Dr. Katie Carhart, a licensed clinical psychologist offering online therapy for adults throughout Maryland. I specialize in working with high-functioning, overwhelmed, or emotionally sensitive adults who want deeper support for burnout, anxiety, ADHD, chronic stress, and nervous system dysregulation through a warm, integrative, somatic-informed lens.
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If you're feeling depleted, reactive, disconnected from yourself, or stuck in patterns you can’t break, therapy can help you understand what’s happening beneath the surface and build a more grounded, sustainable way of being.

What I Help With
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Maryland is home to a wide range of demanding, high-pressure environments: healthcare systems, federal agencies, tech and research hubs, education, and service professions. 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)
Therapy with me is integrative, somatic, and neurodivergence-affirming, designed for adults who want both emotional insight and real-world tools.
I combine:
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✔ 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.
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 Maryland, including Bethesda, Baltimore, Montgomery County, PG County, Annapolis, and the Eastern Shore.
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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
For individuals who want focused support without months of weekly therapy, I offer two specialized intensives:
• 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.
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.
help.
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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, I’d be honored to support you.​ Contact me to explore if working together feels right.
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