Desiree Monroe , MD, LCPC

Desiree Monroe is a licensed counselor practicing in Maryland with 16 years of experience. She blends client-centered care with practical techniques to help people manage stress, anxiety, trauma, grief, depression, and addictive behaviors. Desiree also focuses on women's issues and supporting parents facing the strain of caregiving and adoption-related concerns.

She aims for simple, direct work in sessions. That often means talking through immediate problems, building coping skills, and setting small goals people can try between meetings. She draws on cognitive behavioral and mindfulness strategies when people want tools to shift unhelpful thoughts and reactions.

Desiree has worked in outpatient and inpatient settings with people facing mood disorders, post-traumatic stress, and substance use challenges. That background informs how she structures safety planning, relapse prevention, and stepwise progress toward better daily functioning. Her work also addresses relationship stress, intimacy issues, and career-related concerns.

Motivational interviewing is part of her approach for people wrestling with change or ambivalence. She uses solution-focused ideas to identify strengths and fast, practical steps that lead to relief. Dialectical behavior therapy skills appear when emotion regulation and impulse control are priorities.

Sessions are offered in English and she provides a mix of formats including video calls, phone sessions, live chat, and text-based messaging. Desiree describes her role as a collaborator who helps people set realistic goals and try new ways of coping one step at a time.

Online approaches that focus on skills and change

Desiree uses client-centered work and cognitive behavioral techniques to guide online sessions. Client-Centered Therapy emphasizes listening, validation, and building the relationship so people feel understood and can explore what matters most. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing new behaviors to reduce symptoms of anxiety, depression, and mood disorders.

She also blends dialectical behavior therapy (DBT) skills when emotion regulation or impulsivity are central concerns. DBT supplies concrete techniques for managing strong emotions, reducing risky behaviors, and improving interpersonal effectiveness. Together these approaches are used collaboratively; the therapist and client decide which methods match the person's goals and needs, and that plan can change as progress happens.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls work well for more in-depth conversation and skills practice, while phone sessions can be easier when bandwidth is limited. Live chat or text messaging can be useful for brief check-ins, homework prompts, or when someone prefers shorter written exchanges. These options make it simpler to fit therapy around work, caregiving, and other commitments while keeping a steady therapeutic process.