Tammy O'Rourke , MD, LCSW-C

Tammy O'Rourke is a Maryland-based clinician who helps people manage stress and anxiety. She also supports those facing family and parenting challenges, low self-esteem, and major life changes. Tammy holds an MD and is an LCSW-C with two decades of professional experience.

She uses a direct, respectful approach and focuses on practical steps people can use right away. Sessions are conversational and goal-oriented. Tammy listens for what matters most to each person and tailors the work to their situation.

Her background includes long experience helping people rebuild confidence after loss, move through commitment and communication problems, and cope with mood changes such as seasonal shifts. She also addresses issues like abandonment, codependency, blended family tensions, and feelings of isolation.

Tammy works with people dealing with guilt, forgiveness, life purpose questions, and the stress that follows natural or human-caused disasters. She has experience supporting veterans and members of the armed forces with related challenges.

In session she helps people break problems into small steps and practices new ways of responding between meetings. The goal is clearer choices, less overwhelm, and stronger day-to-day coping. Tammy encourages people to name what they want to change and then builds a plan to get there.

Evidence-based approaches and online access

Tammy draws on evidence-based therapeutic techniques that focus on practical skills and behavior change. One common approach helps people learn concrete coping skills for anxiety and stress, such as breathing, grounding, and stepwise exposure to feared situations. These tools are useful for daily stress, panic, and worry.

Another approach addresses relationship patterns and communication. It helps people notice unhelpful cycles, practice clearer requests, and set boundaries. This work can ease family tension, commitment worries, and codependent patterns.

Finding the right approach is part of the work and happens together. Tammy collaborates with each person to pick methods that match their goals, needs, and preferences. Plans are adjusted as progress is made so the approach fits the person, not the other way around.

Online therapy is offered through video calls, phone sessions, live chat, and text-based messaging to increase flexibility. Video allows face-to-face conversation, phone works well when bandwidth is limited, live chat can be a quick check-in, and messaging supports ongoing reflection between meetings. These options help people fit therapy into busy lives and maintain regular contact with licensed professionals.