Karen Crawley-Buckholtz , MD, LCPC, LPC

Karen Crawley-Buckholtz is a clinician who uses a mix of practical approaches to help people manage stress, anxiety, depression, grief, and relationship concerns. She holds an MD and is credentialed as an LCPC and LPC. Karen works from Maryland and brings about 20 years of professional experience to sessions.

Her style centers on listening and adapting to each person's needs. She helps people name problems, set realistic goals, and try actions that can ease symptoms day to day. That might mean practicing new coping skills, changing unhelpful thoughts, or using grounding techniques for trauma and anxiety.

Karen has a long history supporting people through loss, serious illness, caregiver strain, and perinatal or postpartum struggles. She also addresses eating and sleep issues, ADHD, compassion fatigue, and identity concerns including LGBT matters. Work with chronic pain, blended family stress, and aging or geriatric issues is part of her range.

Her background includes grief-informed work and experience with first responders, active duty military, and veterans, along with sensitivity to cultural differences. She believes clients bring strengths that therapy can build on and that goals should reflect each person’s priorities.

Sessions are collaborative and practical. Karen helps clients try small changes, track what works, and adjust plans over time. She encourages a steady pace so people feel more in control as they move forward.

Approaches that guide online work

Client-centered therapy focuses on understanding each person's experience and building treatment around their goals. It means the therapist listens deeply, reflects what she hears, and helps clients identify strengths to use in everyday life. This approach is helpful for stress, relationship concerns, and navigating life changes.

Cognitive Behavioral Therapy, or CBT, looks at the link between thoughts, feelings, and actions. It teaches practical tools to notice unhelpful thinking patterns and try new behaviors that reduce anxiety and depressive symptoms. CBT is often used for worry, sleeping problems, and mood challenges.

Dialectical Behavior Therapy, DBT, offers specific skills for emotion regulation, distress tolerance, and improving communication. It can be useful when emotions feel overwhelming or when patterns of intense conflict or self-criticism interfere with daily life.

Finding the right mix of methods is part of the work together. The therapist will review concerns, goals, and preferences and then suggest approaches to try. Clients and the therapist decide collaboratively and adjust the plan as progress is reviewed.

Online formats like video calls, phone sessions, live chat, and text messaging make it easier to fit therapy into busy lives. Video lets you see facial cues and try exercises together. Phone calls use less bandwidth and can be a quick check-in. Live chat and text work well for brief reflections, homework prompts, or when typing feels more comfortable. These options provide flexibility and make regular work on goals more manageable.