Loretta Collins (Begg) , MD, LCPC

Loretta Collins (Begg) trained as a clinician after a long career in sales and now practices in Maryland. She holds an MD and is a Licensed Clinical Professional Counselor, LCPC, with four years of clinical experience. Her work centers on helping people facing stress, anxiety, mood struggles, and substance use concerns. Loretta uses practical, straightforward conversations to help clients sort problems and set goals.

She draws on client-centered methods to make sessions collaborative and respectful. That means listening closely and shaping the work around each person's values and priorities. Loretta also uses cognitive behavioral ideas to help people notice unhelpful thoughts and try different behaviors.

Her background includes work with people who have been through trauma, those dealing with addictions, and others with mood conditions such as bipolar disorder and depression. She also addresses related issues like body image, caregiver stress, codependency, and impulse struggles. Sessions tend to focus on clear steps and small changes that add up over time.

Loretta aims to reduce the stigma around mental health by treating emotional and brain-based problems like other health issues. She emphasizes a partnership model where clients lead the pace and goals. Conversations are direct and practical, with tools that people can use between sessions.

People who prefer a therapist who listens first and then offers concrete options may find her style fitting. She works in English and provides several online formats for ongoing support and follow-up.

How client-centered and CBT approaches work online

Loretta uses client-centered work to build a respectful, collaborative relationship. That approach focuses on listening and responding to each person's goals, values, and pace, which helps people feel heard before choosing strategies.

She also applies cognitive behavioral therapy, which helps identify unhelpful thoughts and patterns and then tests small behavioral changes. CBT is useful for anxiety, mood concerns, stress, and problems linked to substance use and impulse control.

Choosing the right approach is a shared process. The therapist and client will review concerns, try strategies, and adjust the plan together based on what helps most. Goals and methods can shift as progress is made, and client feedback guides the work.

Online care uses video calls, phone sessions, live chat, or text-based messaging to fit different needs. Video calls work well for full sessions and visual connection. Phone sessions require less bandwidth and can fit a break from work. Live chat and messaging are useful for brief check-ins, tracking progress, or when shorter, more frequent contact helps. These formats make ongoing care more flexible and easier to fit into daily life.