Giselle DeGrafenreid , MD, LCSW-C

Giselle DeGrafenreid is a licensed clinician who combines practical therapy with a focus on women's issues. She brings 23 years of experience and holds an MD and a Licensed Certified Social Worker-Clinical (LCSW-C). She aims to help people facing stress, anxiety, anger, low self-esteem, bipolar mood struggles, and depression.

Giselle centers sessions on the client's experience and strengths. She treats the person, not just the problem, and helps people break down what feels overwhelming into small, doable steps. Talking through difficult feelings and building clearer day-to-day routines are common parts of her work.

Her background includes long-term clinical work in Maryland across a range of mood and life challenges. She supports people dealing with abandonment concerns, caregiver stress, chronic illness or pain, and problems with communication and control. She also helps individuals navigate divorce and separation, money worries, midlife transitions, and issues like guilt, shame, isolation, and impulsivity.

In sessions she focuses on practical tools that fit a person's life. That can mean improving coping skills for anxiety, shaping better sleep and activity habits for mood, or practicing different ways to talk about needs and limits. The overall aim is clearer thinking and more predictable days.

Giselle works with people who want steady, experience-based guidance and straightforward strategies. She encourages clients to use their own strengths while trying new approaches to manage intense feelings and regain a sense of balance.

Evidence-based approaches for online care

Giselle uses evidence-based therapeutic techniques that focus on practical changes in daily life. One approach helps people break large problems into small, concrete steps and build coping routines for anxiety and mood difficulties. Another focuses on improving communication and managing strong emotions by practicing new responses in session and back at home.

Choosing the right strategy is a collaborative process. The therapist will work with the client to identify goals, try different techniques, and adjust the plan as progress is made. Together they decide which methods fit the client's needs and preferences.

Online therapy is offered through video calls, phone sessions, live chat, and text-based messaging to make care more flexible. Video calls are useful for full conversations and visual cues, phone sessions can be easier when bandwidth is limited, live chat allows quicker check-ins, and messaging supports ongoing reflection between sessions. These options help people fit therapy into work, caregiving, and busy schedules while keeping focus on steady progress.