Online Therapy in Washington DC

Online therapy for high-achieving, sensitive, or neurodivergent adults in Washington DC
Dupont Circle • Capitol Hill • Georgetown • Navy Yard • Shaw • Foggy Bottom • and citywide
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I’m Dr. Katie Carhart, a licensed clinical psychologist offering telehealth therapy for adults living in Washington, DC. I specialize in supporting high-functioning, overwhelmed professionals and neurodivergent adults who are navigating burnout, anxiety, executive functioning challenges, chronic stress, emotional reactivity, or patterns of people-pleasing and perfectionism.
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If you feel like you’re holding a lot, performing well on the outside but struggling internally, therapy can help you reconnect with yourself, regulate your nervous system, and create more sustainable ways of living, not just coping.
What I Help With
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Washington, DC is a uniquely driven and high-pressure environment. Many adults here navigate demanding workloads, long hours, complex responsibilities, and the expectation to always perform at a high level. The people who seek out therapy with me are often juggling significant professional, personal, or caregiving demands while feeling overwhelmed, burned out, or disconnected inside.
I work with adults navigating:
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Burnout and emotional exhaustion
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Anxiety, chronic stress, and difficulty “shutting off”
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ADHD or suspected ADHD, including overwhelm, planning challenges, and time blindness
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Perfectionism, people-pleasing, and high internal pressure
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Trauma responses (freeze, shutdown, overfunctioning)
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Emotional reactivity or “on edge” feelings
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Difficulty identifying needs or boundaries
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Feeling disconnected from yourself or out of alignment
Many of my clients are deeply self-aware, but insight alone hasn’t created the shifts they want. My work helps bridge that gap.
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My Approach (What Makes Therapy With Me Different)
My work is integrative, somatic, depth-oriented, and neurodivergence-affirming. I draw from:
✔ Polyvagal Theory & Nervous System Regulation
We explore how your body responds to stress, why certain emotional patterns show up, and how to shift into more grounded states.
✔ Somatic and Embodied Approaches
Change happens in your body, not just your mind. We incorporate gentle, accessible practices to help you regulate and reconnect.
✔ ADHD and Executive Function Support
Shame-free, personalized tools for planning, initiating tasks, reducing overwhelm, and supporting your energy.
✔ Depth-Oriented Insight Work
We look at the underlying beliefs, relational patterns, and emotional cycles shaping your current experience.
✔ CBT, ACT, and Mind-Body Tools
For practical, day-to-day strategies that reduce avoidance, worry, and overwhelm.​
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This combination helps you cultivate insight + regulation + meaningful action — the foundation for sustainable change.
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How Online Therapy Works in Washington DC
As a PSYPACT credentialed psychologist, I provide telehealth therapy anywhere in the District of Columbia.
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
Many DC professionals prefer telehealth because it fits into demanding schedules without the added stress of commuting.​
Therapy Intensives for Washington DC Clients
If you want focused support without waiting months in weekly therapy, I offer specialized intensives tailored to high-functioning adults:​
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• Somatic / Polyvagal Reset Intensive
For anxiety, emotional overwhelm, stress reactivity, burnout, or trauma responses.​
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• Executive Function / ADHD Reset Intensive
For overwhelm, avoidance, time blindness, planning difficulties, or difficulty following through.​
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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 are particularly effective for high-functioning adults who want meaningful momentum.
Who I Work Best With
My approach is a strong fit for adults who:
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are high-achieving but internally struggling
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feel overwhelmed, depleted, or “on autopilot”
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identify as neurodivergent or suspect ADHD
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have tried therapy before but want something deeper
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value practical tools and meaningful self-understanding
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want to feel more grounded, connected, and aligned
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appreciate a warm, thoughtful, nonjudgmental therapist
If you're ready to understand yourself better and build sustainable patterns, I can help.
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Insurance & Fees
I am an out-of-network provider in Washington DC 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 full choice in scheduling frequency and session types.
Ready to Get Started?
If you’re a Washington, DC adult seeking integrative, somatic, or neurodivergence-informed therapy, I’d be honored to support you.
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