Frequently Asked Questions

Starting therapy often comes with questions. Sometimes they’re practical, and sometimes they come from a place of wanting to feel a little more certain before taking the next step.

This space is here to help you understand what working with Joining with Empathy can look like, from how we approach care to what you can expect as you get started. You don’t need to have everything figured out before reaching out. It’s okay to be unsure, to have questions, or to simply be exploring what support might feel like for you.

If something here answers a question you’ve been holding, that’s a good place to begin. And if you’re still unsure, that’s okay too. We’re here to help you find a path that feels steady, supportive, and aligned with what you need.

What if I have medication management questions between scheduled times I'd see my provider?

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At Joining with Empathy we offer a steady line of communication.

If something feels off, unclear, or important to revisit, you can reach out between sessions through secure messaging on our patient portal. Care here is collaborative and responsive. You are not expected to carry uncertainty by yourself.

Is it a problem if I feel overwhelmed even though I’m managing everything?

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No, it’s not a problem. Feeling overwhelmed while still managing everything is more common than it looks. Many people continue to show up, get things done, and support others while feeling stretched thin on the inside. Therapy offers space to slow down and understand what your system has been carrying, even if you’ve been “handling it.” You can learn more about what this kind of support looks like in our Therapy for Anxiety article.

Do you offer self-pay options?

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Yes. Self-pay options are available for therapy and medication management. Rates and availability can be discussed during the intake process or when you reach out to get started.

How do I know if I need therapy?

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You don’t have to be in crisis to benefit from therapy. If your thoughts, emotions, or stress levels are interfering with your sleep, relationships, work, or overall sense of well-being, therapy can help. Many people seek therapy not because something is “wrong,” but because they feel stuck, overwhelmed, or exhausted from managing everything on their own.


You might consider therapy if you:

  • Feel anxious, low, or irritable more days than not
  • Struggle with overthinking or self-criticism
  • Notice recurring relationship patterns
  • Feel burned out or emotionally numb
  • Have difficulty setting boundaries
  • Want support navigating a transition or decision


Therapy is also appropriate if you simply want a structured space to better understand yourself and build healthier coping tools.

If you’re in Maryland and unsure whether therapy is the right step, scheduling a brief consultation can help clarify your goals and determine fit.

What are some of the services you provide?

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Anxiety therapy in Baltimore, or virtual in Maryland

Depression therapy in Baltimore or virtual in Maryland

Self-esteem- Self-compassion therapy in Baltimore or virtual in Maryland

Health At Every Size therapy in Baltimore or virtual in Maryland

Holistic Medication Management in Baltimore or virtual in Maryland

Teen therapy in Baltimore or virtual in Maryland

Trauma-informed therapy in Baltimore or virtual in Maryland

LGBTQIA+ affirming therapy in Baltimore or virtual in Maryland

Women's issues therapy in Baltimore or virtual in Maryland

Life transitions therapy in Baltimore or virtual in Maryland

Young adult therapy in Baltimore or virtual in Maryland

Relationship issues therapy in Baltimore or virtual in Maryland

Parenting stress therapy in Baltimore or virtual in Maryland

Perfectionism therapy in Baltimore or virtual in Maryland

Telehealth therapy in Maryland

Work Stress therapy in Baltimore and virtual in Maryland

Can I receive therapy and medication management in the same practice in Maryland?

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Yes. Joining with Empathy offers integrated therapy and psychiatric services in Maryland with coordinated treatment planning with both virtual and in person appointment options.

How do I know if I have anxiety?

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Common symptoms of anxiety:

  • Frequent worry
  • Irritability
  • Feeling on edge
  • Easily fatigued
  • Restlessness
  • Heart palpitations and/or chest pain
  • Panic attacks
  • Racing thoughts
  • Muscle tension
  • Difficulty concentrating
  • Shortness of breath or dizziness
  • Avoidance of social environments
  • Anxiety in social environments
  • Fear of judgement in social environments

Our Baltimore, Maryland therapists are here to help!

Why can’t I just relax, even when I finally have time to?

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If you can’t relax even when you have time, it may be because your mind and body are used to being in a constant state of stress. When you’ve been holding a lot for a long time, slowing down can actually feel uncomfortable. Instead of relaxation, you might notice tension, restlessness, or racing thoughts. This is often a sign your nervous system needs support, not a sign you’re doing something wrong. You can explore more about this in our Therapy for Anxiety blog.

Is your practice LGBTQIA+ affirming?

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Yes. Joining with Empathy provides LGBTQIA+ affirming therapy for teens and adults. Affirming care means your identity is respected, valued, and supported in every part of the therapeutic process. Our clinicians use inclusive language, honor pronouns, and create a space where you do not need to explain or defend who you are.

LGBTQIA+ affirming therapy supports the whole person. While identity may be part of the work, therapy can also help with anxiety, depression, relationship concerns, family dynamics, trauma, and life transitions, all through a lens that understands how identity and lived experience shape emotional wellbeing.

Do you accept insurance?

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Yes. Joining with Empathy is in-network with several major insurance providers, including Blue Cross Blue Shield, Cigna, United Healthcare, and Johns Hopkins EHP and USFHP. After you complete the intake packet, we bill insurance directly. Depending on your plan, you may have a copay or deductible.

If you are unsure about your coverage or have questions about using your benefits, our team is happy to help you navigate the process. If we are not in-network with your insurance, self-pay options are available. We can also provide superbills upon request to support out-of-network reimbursement.

Do you provide services for children and adolescents?

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Yes. Joining with Empathy provides therapy for adolescents ages 13 and older. Our clinicians are experienced in working with teens and use age-appropriate, supportive approaches to help with concerns such as anxiety, depression, self-esteem, peer relationships, and navigating life transitions.

Care for adolescents is collaborative and thoughtful, with attention to creating a safe, non-judgmental space where teens can express themselves and build healthy coping skills. When appropriate, we also involve parents or caregivers as part of the support process.

Is it normal to feel this exhausted all the time?

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Yes, ongoing emotional exhaustion is very common, especially for people who are used to pushing through stress. Mental, physical, and emotional fatigue can build quietly over time. Therapy can help you understand where that exhaustion is coming from and what you need to feel more supported and restored. You can explore more by reading our: When Rest Does Not Help: Understanding Burnout Blog.

Who is therapy for at Joining with Empathy?

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We work with teens and adults who are seeking emotional support, healing, and greater steadiness in their daily lives. Our care is inclusive, trauma-informed, and designed for people who want a space where they feel understood, supported, and not alone with what they are carrying.

How do I get started?

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You can begin by completing our get started form. Once it is submitted, our team will follow up with next steps, answer any questions you may have, and help guide you toward care that feels like the right fit.

What if I feel like other people have it worse than me?

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You can still benefit from therapy even if other people have it worse. Comparing your experience can make it easy to minimize what you’re feeling, but pain isn’t measured that way. If something feels heavy, confusing, or harder than it used to, it’s worth paying attention to. You don’t have to wait until things get worse to seek support. If you’re considering taking that step, our How to Start Therapy article can walk you through what that looks like.

Do you offer in-person and online therapy in Maryland?

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Yes. We offer in-person therapy at our Baltimore location and secure, confidential online virtual therapy for clients anywhere in Maryland. Virtual sessions allow you to receive the same quality of care from the comfort of your home while meeting licensing requirements within the state.

Do I need therapy or medication?

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The best approach depends on your symptoms, goals, and history. Some individuals benefit from therapy alone, others from medication, and many from a combination of both. A collaborative assessment helps determine the right path.

What is holistic psychiatric care?

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Holistic psychiatric care includes medication management while also considering sleep, stress, relationships, lifestyle factors, and therapy progress.

Why do I overthink everything and still feel unsure?

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Overthinking often leads to more doubt, not more clarity. Many people overthink because they’re trying to make the “right” decision or avoid mistakes. Even with a lot of thought, it can still feel hard to trust yourself. Therapy can help you understand what’s driving that pattern and build a steadier sense of clarity and self-trust. You can read more on our blog: Anxiety Therapy Online How Virtual Counseling Helps Calm Overthinking and Chronic Worry. If you’re ready to explore that, you can begin through our Get Started page.

How Do I Navigate Maryland Social Work CEU's?

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Navigating the continuing education requirements for social workers in Maryland can feel overwhelming, whether you're new to the field or a seasoned professional. However, understanding these requirements is crucial for successful license renewal. Let's break down what you need to know.

Thumbnail image representing Maryland for article on social work CEU requirements.

The Basics

Maryland-licensed social workers must complete 40 Continuing Education Units (CEUs) every two-year renewal period.  20 CEUs must be Category 1 and completed in live time, meaning either in-person or via a live online webinar.

Specific Content Requirements

Within those 40 CEUs, you also need to fulfill specific content requirements:> Ethics: 3 CEUs (Category I or II)> Supervision: 3 CEUs (Category I or II) - Only required if you are a Board Approved Supervisor.> Anti-Oppressive Social Work Practice: 3 CEUs (Category I)CEUs must focus on race, culture, or equity, and cover topics such as Cultural Humility, Social Justice, Racial Equity, Implicit Bias, or Anti-Racism Practices.

This specific 3-hour requirement must be completed live (in-person or online).The Maryland Board of Social Work Examiners recommends that the title of these anti-oppressive practice programs includes one of the specified topics and that the CEU certificate explicitly states it meets this requirement.Important Note: All CEUs must be obtained from board-authorized sponsors.

Maryland Department of Health Implicit Bias Training Requirement:

In addition to the Board's CEU requirements, new licensees, as well as those reinstating or reactivating their licenses, have a one-time requirement to complete an Implicit Bias training provided by the Maryland Department of Health (MDH). This MDH Implicit Bias training does not need to be from a board-approved CEU provider (though it can be). During license renewal, you will simply need to confirm that you have completed this one-time training.

What if I’ve lost a sense of who I am?

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If you feel like you’ve lost a sense of who you are, it often happens gradually. Stress, expectations, and caring for others can create distance from yourself over time. Therapy helps you reconnect with your identity, your needs, and what feels true to you again. You can read more on our blog: The Hidden Weight of the Sandwich Generation.

What if I don’t trust my own decisions?

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If you don’t trust your own decisions, you’re not alone. Self-trust can weaken over time, especially if your needs or instincts haven’t always been supported. Therapy creates space to reconnect with your internal sense of knowing, so decisions feel more grounded and less overwhelming. You can learn more about our approach on the Therapy page.

Why do I feel like I’m always the one holding things together?

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Feeling like you’re always the one holding everything together is common for reliable people who are used to supporting others. Over time, that role can become exhausting. Therapy gives you a place where you don’t have to carry everything alone and where your needs are part of the focus too. Our blog: The Invisible Weight of Being the One Who Always Shows Up is a supportive read.

Why do relationships feel harder than they should?

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Relationships can feel harder when patterns around communication, boundaries, or emotional safety are in place. These patterns often develop over time and can be difficult to shift on your own. Therapy helps you understand what’s happening in your relationships and create more clarity and connection. You can learn more about this on our blog: Growing Together and Growing Apart.

Why haven’t the things I’ve tried actually helped long-term?

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If coping strategies haven’t helped long-term, it doesn’t mean you’ve failed. Many tools offer short-term relief but don’t address the deeper patterns underneath. Therapy helps you understand those patterns more fully, so change feels more lasting and integrated over time. Our Therapy page dives deeper into how we support this kind of work.

What if everything I’ve been holding in feels like too much?

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If everything you’ve been holding in feels like too much, you don’t have to face it all at once. Therapy isn’t about opening everything up at once. It’s about moving at a pace that feels manageable, with support, so you’re not carrying it alone anymore. You can learn more about this on our blog: Fatigue and Burnout. When you feel ready, our Get Started page can support your first step.

Is it possible to feel more like myself again?

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Yes, it is possible to feel like yourself again. Even if you feel disconnected right now, that sense of you hasn’t disappeared. Therapy helps you reconnect with yourself in a way that feels steady, grounded, and aligned with your life now. You can read more about this on our Therapy page.

Why do I keep ending up in the same patterns, even when I’m self-aware?

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Self-awareness alone doesn’t always change patterns. Many emotional and relational patterns are shaped over time and live deeper than conscious understanding. Therapy helps bridge the gap between knowing what’s happening and actually experiencing something different. If you’re curious about this, our Why the Same Fights Keep Happening in Relationships blog is a supportive read.