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Online Therapy for Adults

My work is grounded in a trauma-informed, nervous-system-based approach to therapy. Sessions integrate insight, regulation, and practical tools, tailored to your goals and nervous system needs.

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 Learn more about my approach to therapy here.

Online therapy offers a space to slow down, make sense of what you’re experiencing, and work toward meaningful change, not by “fixing” you, but by understanding what your nervous system has learned to do to survive.

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Many of the adults I work with are thoughtful, capable, and insightful. On the outside, things may look relatively “together,” yet internally there is often chronic stress, emotional exhaustion, self-criticism, or a sense of being stuck despite knowing what to do. Therapy becomes a place to bridge that gap between insight and lived change.

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Who I Work With

I work with adults who want therapy that is collaborative, depth-oriented, and grounded in both science and lived experience. Many clients come to therapy after trying to push through stress, burnout, or emotional pain on their own, often for years, and finding that willpower and insight alone aren’t enough.

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You may be navigating anxiety, trauma, ADHD, burnout, or identity questions, or you may simply feel disconnected from yourself in ways that are hard to articulate. Therapy can help create clarity, steadiness, and flexibility, not by overriding your nervous system, but by working with it.

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Is Online Therapy the Right Fit for You?

Therapy Session Discussion

Online therapy with me may be a good fit if:

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  • You feel chronically stressed, burned out, or emotionally depleted, even when life looks “manageable” on paper

  • You have insight into your patterns but struggle to change them in lasting ways

  • Past experiences or trauma continue to shape how you relate to yourself, others, or the world

  • You identify as neurodivergent or experience ADHD-related challenges with focus, organization, or follow-through

  • You want therapy that balances emotional depth with practical tools, rather than advice or surface-level coping strategies

  • You value a therapist who is thoughtful, transparent, and collaborative

 

If you’re looking for quick fixes, rigid protocols, or someone to tell you what to do, this may not be the best fit, and that’s okay. My work is best suited for adults who want to understand why patterns exist and how to shift them sustainably.

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How Therapy with Me Works

My work is grounded in a trauma-informed, nervous-system-based approach to therapy. Rather than focusing solely on symptom reduction, we look at how your nervous system has adapted over time — often in intelligent ways and how those adaptations may now be limiting your capacity, flexibility, or sense of ease.

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Therapy integrates emotional processing, insight, and regulation-based strategies to support real-world change. Sessions are collaborative and paced intentionally, with attention to both cognitive understanding and felt experience.

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If you’d like to learn more about the theoretical foundations and values that guide my work, you can read more about my approach to therapy here.

Common Areas of Focus in Therapy

​While therapy is always individualized, many adults come in wanting support with:

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These concerns are often interconnected, and therapy allows space to explore how they interact, rather than treating them as isolated problems.

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Getting Started and Working Together Online

Sessions are conducted via secure telehealth, allowing you to engage in therapy from a space that feels accessible and grounded. Many clients find that online therapy supports consistency, reduces logistical stress, and allows for meaningful work without the added burden of travel.

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I provide online therapy to adults located in PSYPACT-participating states. Please reach out to confirm availability in your state prior to scheduling.

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A brief consultation allows us to talk through what you’re looking for and determine whether this feels like a good fit.

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Frequently Asked Questions

What areas do you serve?

As a licensed psychologist, I provide online therapy to clients located in most U.S. states through PSYPACT. This includes Arizona, Connecticut, Maryland, Virginia, and Florida, among others. If you’re unsure whether I can work with you based on your location, feel free to reach out or check the PSYPACT list.

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Do you work with children or adolescents?

While I am trained, and have experience, in working with kids and adults across the lifespan, I do not currently provide therapy directly to children or adolescents in my practice. My work focuses on adults, including parents, adult family members, and families of adults (such as adult siblings or parents and adult children).

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If you are seeking therapy specifically for a child or adolescent, I’m happy to help you think through appropriate referrals while continuing to support you as a parent or caregiver, if that feels helpful.

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What does the consultation and intake process look like?

We begin with a free 15-minute virtual consultation. This conversation gives you space to ask questions and allows us to explore your goals together, so we can determine whether working together feels like a good fit before you invest time and energy in therapy.

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If we decide to move forward, we schedule a 90-minute intake session, which is billed at my standard 50-minute rate. You’ll complete forms and brief screening measures in advance so our time together can focus on your current concerns and goals rather than general background information. After the intake, we review initial impressions and collaboratively outline a treatment plan aligned with your needs.

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What concerns do you typically work with in online therapy with adults? 

work with adults navigating a range of concerns, including trauma, chronic stress, anxiety, ADHD and executive functioning challenges, burnout, identity questions, and life transitions. Many clients come in with significant insight but feel stuck when it comes to translating understanding into lasting change.

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Therapy focuses on helping you build greater capacity, flexibility, and self-trust rather than pushing through symptoms or relying solely on willpower.

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What approaches do you use in online therapy with adults?

My work is trauma-informed, neurodivergent-affirming, and nervous-system-based. I integrate evidence-based approaches such as CBT with attachment- and IFS-informed perspectives, alongside somatic and polyvagal principles.

Rather than applying rigid protocols, therapy is tailored to your nervous system, goals, and lived experience, balancing emotional depth with practical tools that support real-world change.

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What should we expect between sessions?

At times, I may suggest brief practices or reflections to explore between sessions, such as regulation tools, journaling prompts, or small behavioral experiments. These are always offered as support, not requirements.

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I understand that capacity fluctuates, and therapy is paced intentionally to meet you where you are without pressure or judgment.

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I’m not sure which service is the right fit. What should I do?

That’s very common. During the free consultation, we can talk through what you’re looking for and decide together whether individual therapy, an intensive or another service feels like the best starting point.

Align and Empower Therapy, PLLC

Katie Carhart, PhD

Licensed Clinical Psychologist

phone: 203-212-8824

Dr. Katie Carhart is a licensed clinical psychologist providing online therapy for adults, couples and adult family members in 40+ states under PSYPACT. She offers secure, HIPAA-compliant telehealth sessions for anxiety, depression, trauma, ADHD, neurodivergence, relationship stress, couple conflict, co-parenting, and burnout.

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Through PSYPACT authorization, I am licensed to provide telehealth evaluations in multiple states. Some of the key areas I serve include:

Website Disclaimer

The information provided on this website, including blog posts, downloadable resources, and external links, is for educational and informational purposes only. It does not constitute psychological treatment, diagnosis, or individualized clinical advice. Viewing this site or contacting Align & Empower Therapy, PLLC does not establish a psychologist–client relationship. Clinical services are provided only after completion of appropriate intake procedures and mutual agreement to treatment. If you are experiencing a mental health emergency, please call 911 or 988 or go to your nearest emergency room. Services are offered via telehealth to adults located in PSYPACT-authorized states where Dr. Carhart is legally permitted to practice.

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© 2026 by Align and Empower Therapy, PLLC

 

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