About Karen
Karen Crawley-Buckholtz is a Maryland-licensed therapist with two decades of clinical experience. She holds an MD and is credentialed as an LCPC and LPC. She focuses on anxiety and stress as well as depression, grief, trauma, relationship and intimacy concerns.
Her approach centers on adapting methods to each person. She draws on Client-Centered work to build trust and on Cognitive Behavioral tools to help people notice and change unhelpful thoughts.
Background and approach
She also uses Dialectical Behavior Therapy and mindfulness strategies to teach coping skills for intense emotions. Karen has long experience supporting people facing life changes, caregiving strain, chronic illness, and bereavement. She also addresses eating and sleep concerns, career stress, and complications from co-morbid conditions.
Her background includes work with military and first responder populations and hospice settings. She favors straightforward goal setting. Sessions focus on practical skills, clear steps, and what people can try between meetings.
She encourages drawing on personal strengths and clarifying priorities to make steady progress. Therapy can include short-term problem solving or longer work on recurring patterns. Karen combines psychodynamic ideas about relationship patterns with solution-focused moves to find immediate relief.
People who come for anxiety often leave with tools to manage panic, worry, and daily stressors.
How therapy approaches translate to online care
Client-Centered Therapy focuses on listening and collaboration. The therapist offers a nonjudgmental space where the client's priorities guide each session, which is useful for anxiety and relationship concerns. Cognitive Behavioral Therapy (CBT) teaches practical steps to change thought and behavior patterns; it often includes brief exercises and homework that translate well to video or text-based sessions. Dialectical Behavior Therapy (DBT) emphasizes emotion regulation and interpersonal skills, giving people concrete tools to manage intense feelings and improve communication.Choosing the right approach is a team effort. The therapist will discuss goals and preferences and try methods that match your needs. That collaborative process helps decide whether to emphasize skill work, deeper pattern work, or a mix of both.
Online therapy offers flexible ways to meet. Video calls allow face-to-face conversation and screen-sharing for worksheets. Phone sessions need less bandwidth and can be easier during a busy day. Live chat and text messaging work well for short check-ins, skill reminders, or between-session support. These options make it simpler to fit therapy into work, caregiving, or health-related schedules.
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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