About Karen
Karen Crawley-Buckholtz is a licensed counselor practicing in Maryland. She holds an MD and counseling credentials listed as LCPC and LPC and brings 20 years of professional experience. Karen focuses on common and complex concerns such as stress, anxiety, grief, depression, relationship and intimacy issues, and trauma and abuse.
She uses a mix of approaches that include client-centered work, cognitive behavioral techniques, dialectical behavior strategies, mindfulness, and psychodynamic ideas. Sessions are practical and goal-focused.
Background and approach
Karen helps people identify strengths and build skills they can use between appointments. Her background includes work with a wide range of concerns - parenting strain, sleep and eating issues, caregiver stress, chronic illness and pain, and challenges tied to major life changes. She also lists focus on LGBT concerns, bipolar disorder, ADHD, and compassion fatigue among her areas of attention.
Her experience includes supporting people facing serious medical issues and end-of-life situations. Karen aims to tailor therapy to each person’s needs and preferences. She invites people to set clear goals and to use their own strengths as part of the process.
Her style is respectful and sensitive, emphasizing collaboration and gradual progress. To begin, a person completes a short matching questionnaire and schedules sessions according to availability. Sessions can be delivered via video calls, phone, live chat, or text-based messaging using a subscription that can be canceled at any time.
Therapeutic approaches and online care
Karen commonly blends client-centered work and cognitive behavioral therapy in online sessions. Client-centered work focuses on listening and understanding each person's perspective, helping them name strengths and goals. Cognitive behavioral therapy breaks problems into thoughts, feelings, and actions and teaches concrete skills to reduce anxiety, manage mood, and change unhelpful patterns.She also uses elements of dialectical behavior therapy when emotion regulation and relationship skills are a focus. DBT techniques teach breathing, distress-tolerance, and communication skills that help in moments of high emotion and in managing intense stress.
Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and what feels most useful, and then adapt methods as progress is made. Clients help shape the plan and try approaches in a collaborative way.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for in-depth sessions and nonverbal cues. Phone works well when bandwidth is limited or a simpler check-in is needed. Live chat and text messaging make it easier to fit short check-ins into a busy day or to follow up between sessions. These options increase flexibility and help therapy fit into everyday life.
Questions people ask
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What this counselor works with
Most often
- Stress, Anxiety
- Relationship issues
- Trauma and abuse
Also listed
- ADHD
- Aging and geriatric issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Eating and food-related issues
- Eating disorders
- Family conflicts
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Trichotillomania
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Maryland, Virginia
- Languages
- English