Karen Crawley-Buckholtz, LCPC, LPC - Therapist in Maryland

Client-centered approach
CBT and DBT tools
Grief and loss support

About Karen

Karen Crawley-Buckholtz is a Licensed Clinical Professional Counselor (LCPC) in Maryland and a Licensed Professional Counselor (LPC) in Virginia with 20 years of experience. She works with people who are facing stress, anxiety, depression, grief, trauma and relationship concerns. Her practice includes issues such as intimacy, self-esteem, parenting, career stress, ADHD, and blended family issues.

She combines several approaches to match what each person needs. That can mean client-centered conversation to focus on what matters to the client, cognitive behavioral techniques to change unhelpful patterns, mindfulness skills for managing strong feelings, or elements of psychodynamic work to look at long-standing patterns. She draws on Dialectical Behavior Therapy tools when emotion regulation or intense reactions are part of the problem.

Her background includes work with hospice, illness and disability, and grief-related care. She has experience supporting people impacted by trauma, perinatal and postpartum depression, and first responder or military-related stress. This experience informs how she notices the practical effects of major life events on daily routines and relationships.

Sessions are practical and goal-oriented. She helps people identify small, useful steps they can use between meetings. Conversations often include skill practice, clearer communication strategies, and ways to reduce avoidance or escalate coping skills when needed.

People who choose her can expect straightforward discussion about goals and options. The first meeting usually focuses on current concerns, brief history, and a plan for next steps.

Approaches used in online sessions

Client-Centered Therapy focuses on listening to the client's concerns and following their priorities; it helps people clarify goals and make decisions that fit their life. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors that keep problems going and teaches practical steps to change them, which can be useful for anxiety, depression, and relationship patterns. Dialectical Behavior Therapy (DBT) offers skills for managing intense emotions, improving communication, and reducing impulsive reactions.

Choosing the right approach is part of the work. The therapist will review what is most useful based on the client's goals, preferences, and what shows up in early sessions. That decision is made together and can change as progress is reviewed.

Confirm the current session options before booking, as formats are not listed here. Online sessions can make it easier to fit meetings into a busy schedule, allow shorter check-ins when needed, and reduce travel time. Many people find video or phone meetings help them keep consistent appointments and practice skills between sessions. Licensed professionals can suggest how to structure sessions to match a client's day-to-day life.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesTrauma and abuse Grief Depression

Also works with

LGBTFamily conflictsIntimacy-related issuesEating disordersSleeping disordersParenting issuesSelf esteemCareer difficultiesBipolar disorderCoping with life changesCompassion fatigueADHD

Additional focus areas

Aging and geriatric issuesAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCommitment issues Communication problemsCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationEating and food-related issuesFamily of origin issuesFamily problemsFertility issuesFirst responder issuesGender dysphoriaGuilt and shameHearing impairedHIV / AIDSHoardingHospice and end-of-life counselingInfidelityIntellectual disabilityIsolation / loneliness Midlife crisisVeteran and Armed Forces IssuesMoney and financial issues Mood disorders Multicultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSexual assault and abuseSexualitySocial anxiety and phobiaSomatizationTrichotillomaniaWomen's issues Young adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused Therapy

Experience

20+ years

Listed in

Maryland, Virginia

Languages

English

Frequently asked questions

What concerns does she address?

She works with stress, anxiety, depression, grief, trauma, relationship and intimacy-related issues, plus ADHD and blended family issues among other concerns.

What is her therapy style?

She uses an eclectic, client-centered approach and may use CBT, DBT, mindfulness, or psychodynamic techniques depending on what is most helpful.

How much experience does she have?

She has 20 years of professional experience supporting people with grief, trauma, illness-related stress, and relationship concerns.

What are her credentials and location?

She holds LCPC and LPC credentials and is licensed in Maryland and Virginia, with practice ties to Maryland.

Which languages are sessions offered in?

Sessions are offered in English.

Can she work with international clients?

International clients are not currently accepted.

How does cost work?

Cost varies with location and sessions use a subscription that can be canceled at any time.

How do I get started?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Online talk therapy is for adults and is not emergency care, mediation or legal advice. If you or a child are in danger, use the emergency numbers. Find someone else by name.