Zebrina Rhem , MD, LCSW-C

Zebrina Rhem is a clinician who uses practical, skills-based approaches to help people manage stress, anxiety, and life changes. She combines clear strategies with steady support to help clients set goals and practice new ways of coping.

She draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy to help people identify unhelpful thoughts and build skills for emotion regulation. Sessions often focus on small, doable steps that make daily life easier. Zebrina guides people through techniques they can use outside sessions, such as breathing, grounding, or thought-challenging exercises.

Her background includes seven years working in behavioral health and social work settings. Zebrina holds an MD and is an LCSW-C, which reflects a combination of medical and social work training. That mix shapes an approach that pays attention to both practical needs and emotional responses.

People come to her for many concerns including depression, trauma and abuse, parenting stress, workplace strain, and relationship or intimacy-related issues. She also supports those facing caregiver stress, midlife transitions, pregnancy and childbirth challenges, and questions about life purpose and self-love.

Sessions are offered in English and she works with clients in Maryland as well as international clients. Zebrina uses straightforward language and concrete tools so people leave sessions with steps they can try between meetings.

CBT and DBT approaches for online care

CBT, or Cognitive Behavioral Therapy, teaches practical skills to spot and change unhelpful thoughts and behaviors. It is useful for anxiety, depression, sleep and eating concerns, and for breaking cycles that feed stress.

DBT, Dialectical Behavior Therapy, emphasizes emotion regulation, distress tolerance, and mindful awareness. It helps people manage intense feelings, reduce impulsive reactions, and improve communication when emotions run high.

Choosing the right approach is a collaborative process. The therapist will work with clients to match skills and methods to their goals and daily routines. Over time they adjust the plan based on what helps most and what feels doable.

Online therapy offers flexibility for busy schedules. Video calls allow face-to-face conversations when visual cues matter. Phone sessions can be easier when bandwidth is limited or when someone needs a shorter check-in. Live chat and text-based messaging support quick questions, skill practice between sessions, or updates when typing feels easier than talking. These options make it possible to keep steady progress while fitting therapy into work, caregiving, or travel.