Therapy

What is therapy at Hearthway?

Therapy is regular, one-on-one time with a licensed clinician to understand what you're facing and build practical ways to handle it.

At Hearthway, every session happens by secure video or audio, so you can meet from home or any private place in Maryland. There's no drive, no waiting room, and no need to take a full day off work or school.

• Format: individual sessions by video or audio
• Session length: 45–55 minutes; the first visit is about 60 minutes
• How often: usually weekly or every other week to start, then adjusted as you progress
• First appointment: an intake visit, billed like other visits; we check your coverage first

Who do we serve?

Children ages 6 and up, teens, and adults who are in Maryland at the time of each visit.

Children 6–12

Activity- and play-based approaches. A parent or guardian joins intake, with regular parent check-ins and school coordination with your permission.

Teens 13–17

Help with mood, stress, school, and friendships. A parent or guardian joins intake, and we explain how privacy works for your family.

Adults 18+

Appointments that fit around work and family, goals you help set, and coordination with your prescriber if you have one.

Every Maryland county and Baltimore City

Because therapy is by telehealth, we serve all 24 Maryland jurisdictions, including rural areas with few local options.

How can therapy at Hearthway benefit you?

Therapy can ease symptoms, strengthen relationships, and give you tools you keep using long after sessions end.

Concerns we help with

• Anxiety, worry, and panic
• Depression and low mood
• Stress and burnout
• Trauma, grief, and loss
• ADHD-related struggles at home, school, or work
• Behavior, anger, and emotional regulation
• School stress, friendships, and bullying
• Self-esteem and big life changes

Why families choose telehealth with us

• No travel time, which matters most in rural Maryland
• Sessions from a familiar, comfortable place
• Easier to keep appointments around work, school, and caregiving
• Therapy and medication management in one practice, with coordinated care

See all conditions we treat →

What is the role of your therapist?

Your therapist is your partner in care, from your first conversation through the day you finish.

Your therapist will:

• Learn about your history, strengths, concerns, and goals at intake
• Write a treatment plan with you, using goals in your own words
• Use approaches that fit you, such as cognitive behavioral therapy (CBT) and trauma-focused CBT, DBT-informed skills, motivational interviewing, solution-focused therapy, and mindfulness
• Use play- and activity-based therapy with younger children, and coach parents on behavior strategies
• Review progress with you regularly and adjust the plan
• Coordinate with your prescriber, primary care provider, or school, only with your written permission
• Make a safety plan with you if one is needed, and refer you to other care when it would serve you better

Your therapist doesn't replace emergency services. If you're in crisis between sessions, call or text 988, or call 911 in an emergency.

What is a treatment plan?

A treatment plan is a written roadmap for your care that you and your therapist create together.

It names what you want to change, the steps you'll take to get there, and how you'll both know it's working. It's reviewed regularly and updated as your needs change.

• Your goals, in your own words
• The approaches your therapist will use
• How often you'll meet
• How progress will be measured and reviewed
• Who else is involved, such as a parent, prescriber, or school, with your permission

What happens when you start?

1. Contact our office

   Call or send a message with your questions.

2. Coverage check

   We verify your insurance and explain any costs before you schedule.

3. Intake visit

   About 60 minutes to understand your history and goals.

4. Ongoing sessions

   45–55 minutes, usually weekly or every other week to start.

What do you need for a telehealth visit?

• A private place where you can talk freely
• For video: a phone, tablet, or computer with a camera and an internet or cellular connection
• For audio: any phone
• To be physically in Maryland during each visit
• Your insurance card for intake

You agree to telehealth before your first visit. Audio-only visits are used when care can be fully provided without video, and if video drops, we may finish by phone when appropriate.

How visits work →

How does insurance work?

If you have Maryland Medicaid, you can come to us directly. No referral from your primary care provider is needed.

• Mental health care for Medicaid members is managed by Carelon Behavioral Health, not your HealthChoice plan
• Some services need approval from Carelon first, and our office requests it
• For commercial insurance, participation varies by plan, so we verify your coverage before your first visit
• Whatever your coverage, we confirm it before your visits begin

Insurance details →