About Kara
Kara Finamore is a Maryland-based clinician with an MD and an LCSW-C and 10 years of experience in behavioral health. She focuses on helping people manage stress and anxiety and addresses related concerns like depression, trauma, and relationship strain. Kara aims to create a respectful and compassionate space where people feel heard.
She adapts conversations and care to each person's needs rather than using a one-size-fits-all approach. Sessions focus on practical steps you can take between meetings, clearer ways to cope with strong emotions, and realistic plans for change.
Background and approach
Kara helps people facing grief, parenting challenges, addictions, intimacy issues, and career-related stress. She has worked with people affected by domestic violence, first responder stress, fertility and postpartum concerns, and multicultural issues. Kara also supports people dealing with obsessive-compulsive behaviors, dependent personality patterns, and end-of-life caregiving questions.
Her background includes both medical training and social work practice, which she blends when appropriate. In sessions she aims to listen first, then build a plan that fits daily life. She values sensitivity to LGBTQ experiences and the special pressures those clients can face.
Treatment is collaborative - clients set goals and Kara suggests step-by-step ways to reach them. People meet with her through video calls, phone, live chat, or text messaging. For those ready to begin, she guides them through scheduling and planning to make therapy fit their routine.
Approaches that guide online work and flexible care
She uses evidence-based therapeutic techniques that focus on practical coping and problem solving. One approach emphasizes teaching concrete coping skills for anxiety and stress - breathing, activity planning, and steps to break cycles of worry. These skills aim to reduce daily distress and improve routine functioning.Another common focus is trauma-informed support that prioritizes safety and pacing. This approach helps people process difficult experiences at a pace that feels manageable while building strategies to handle triggers and strong emotions. It is often used for grief, abuse histories, and relationship-related trauma.
Finding the right approach is a collaborative process. The therapist works with each person to identify goals and test methods that fit their life and preferences. Sessions may shift methods over time as needs change and progress is reviewed together.
Online therapy offers practical flexibility for busy schedules and varied needs. Video calls allow face-to-face conversation when visual cues help, phone sessions can work when bandwidth is limited, and live chat or text-based messaging suit shorter check-ins or times when typing feels easier. These options make it simpler to keep continuity of care while fitting therapy into everyday life.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- LGBT
- Relationship issues
Also listed
- Addictions
- Anger management
- Career difficulties
- Coping with life changes
- Dependent personality
- Depression
- Domestic violence
- Family conflicts
- Family problems
- Fertility issues
- First responder issues
- Grief
- Hospice and end-of-life counseling
- Intimacy-related issues
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Parenting issues
- Postpartum depression
- Self esteem
- Trauma and abuse
- Experience
- 10 years
- Licensed
- Maryland
- Languages
- English
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