Online therapy · Bethesda, MD
Discreet, serious therapy that fits a demanding schedule.
Online therapy for adults and couples in Bethesda and the surrounding Montgomery County area, in English or French.
Bethesda holds an unusual density of people in high-accountability work: medicine and research, law, federal agencies, consulting. The professional cost of being seen walking into a therapist's office is a real consideration here, and it stops people from going.
Telehealth removes that calculation. There is no waiting room and no building, only a secure video session from wherever you can close a door.
Who this is for in Bethesda
Adults and couples in Bethesda, Chevy Chase, Rockville and the surrounding area. Clinicians, researchers, attorneys, senior federal staff and consultants are a significant part of the practice.
Clinicians and healthcare workers in particular often present late, having spent years managing everyone else's difficulty before attending to their own.

What tends to bring people in
Sustained overwork and the burnout that follows it, anxiety attached to performance, and the specific exhaustion of a role that requires being reliable for other people all day.
Couples work where two demanding careers have gradually reduced the relationship to logistics, and where neither partner is willing to be the one who says so first.
A few markers before you get in touch.

Confidentiality
All sessions run on a secure HIPAA-compliant telehealth platform, and clinical records are held in an encrypted electronic health record. Confidentiality is protected within the standard clinical and legal limits, which are reviewed at the outset.
There is no physical office and no reception, so there is no shared waiting area in which to be recognised.
Practical details
Individual sessions run 53 to 60 minutes at $180; couples sessions run 75 minutes at $280. Cancellations inside 24 hours are billed at $130.
Enquiries receive a reply within 24 to 48 hours. For urgent situations, call or text 988.

Is this a fit?
Is this the right fit?
A few markers before you get in touch.
You'll likely get the most from this work if you are:
- Adults and couples in Bethesda and nearby Montgomery County
- Professionals in high-accountability roles
- Clinicians and healthcare workers
The work asks for:
- A private space and a protected hour
- Regular attendance across several months
- A willingness to stop performing competence in the session
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