About Karen
Karen Crawley-Buckholtz is a Maryland-based clinician with two decades of professional experience. She holds an MD and works as a licensed clinical professional counselor and licensed professional counselor. She centers care on respect, sensitivity, and practical support for people facing stress, anxiety, grief, trauma, and relationship concerns.
She uses a mix of approaches and tailors them to each person's needs. Sessions focus on clear goals and building tools that people can use in daily life.
Background and approach
That may include strategies to manage anxiety, ways to navigate grief, or steps to improve communication and intimacy. Her background includes extensive work around loss, perinatal and postpartum depression, and caring for people dealing with chronic illness and hospice situations. She has experience supporting first responders, active duty military, and veterans.
That experience shapes how she talks about stress, compassion fatigue, and coping with major life changes. Therapy combines practical exercises with time to talk about patterns and history. Karen draws from client-centered methods, cognitive behavioral ideas, dialectical behavior techniques, mindfulness, and psychodynamic perspectives.
She helps people notice what’s getting in the way and practices new responses in session. Sessions are offered in English and can be scheduled in formats that include video calls, phone sessions, live chat, or text messaging. Getting started involves a short matching questionnaire and then scheduling a time that fits the person’s calendar.
How therapeutic approaches translate to online care
Client-centered therapy focuses on listening and building on a person’s strengths. In practice this means the therapist reflects concerns back, asks about priorities, and helps people set goals that matter to them.Cognitive Behavioral Therapy, or CBT, teaches practical skills to change unhelpful thoughts and behaviors. It often involves short exercises and homework that people can try between sessions to reduce anxiety or improve sleep and eating habits.
Dialectical Behavior Therapy, or DBT, brings tools for managing strong emotions and improving relationships. It emphasizes distress tolerance, emotional regulation, and clearer communication skills that are useful for people coping with intense stress or mood swings.
Finding the right mix of approaches is collaborative. The therapist will talk with the person about goals, try specific techniques, and adjust the plan based on what helps. That way the approach evolves to fit needs and preferences.
Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging. Video sessions allow face-to-face conversation and screen-sharing for worksheets. Phone sessions use less bandwidth and can work well when a camera is not needed. Live chat and messaging make short check-ins or ongoing support easier to fit into a busy day. These options help people keep therapy consistent when schedules or mobility make in-person visits difficult.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- ADHD
- Aging and geriatric issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Eating and food-related issues
- Eating disorders
- Family conflicts
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Maryland, Virginia
- Languages
- English
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