Top-Rated Therapist in Maryland

Takeaway: As a therapist in MD, I specialize in helping individuals, couples, and families find balance and create the lives they’ve always wanted. Whether you're struggling with mental health challenges, life transitions, or relationship issues, I'm here to help. Connect with me today to get started. 

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Meet Sarah Puskavich, LCPC | Top-rated Maryland therapist

Hi, I'm Sarah, the owner and founder of Balanced Thoughts Therapy. I'm passionate about building a warm, supportive environment for my clients to learn more about themselves and discover new tools that can help them make lasting changes. I recognize that each person's needs are unique, so I'm committed to customizing the therapy experience to your preferences and goals.

Here's a bit more about me.

  • Credentials: Licensed Clinical Professional Counselor (LCPC) in Maryland, National Certified Counselor (NCC), and Certified Rehabilitation Counselor (CRC)

  • Education: Undergraduate Degree in Psychology and Philosophy from Washington & Jefferson College, Graduate Degree from West Virginia University

  • Location: Offering in-person therapy at 15887 Crabbs Branch Way, Suite B, Rockville, MD 20855, and teletherapy throughout Maryland

  • Modalities: cognitive behavioral therapy (CBT), mindfulness-based techniques, emotion-focused therapy, solution-focused therapy, trauma-informed care, and more

You can learn more about me here or connect with me here for more information.

Mental health services we offer

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    Individual therapy

    We provide individual therapy for teens, young adults, and adults of all ages. Our sessions can help you heal from mental health issues like depression and anxiety, navigate life transitions like moving or divorce, and learn more coping skills to help you manage your emotions in your day-to-day life.

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    Couples therapy

    Despite common misconceptions, couples therapy isn't only for relationships that are in crisis. Working with a licensed therapist can give you and your partner the support you need to improve communication, learn how to effectively resolve conflict, and build trust and intimacy. Plus, we can work through other common relationship concerns to help you and your partner feel closer than ever.

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    Family therapy

    Similarly to couples therapy, family therapy can help you and your loved ones learn more about each other, build communication skills, and improve your relationships with each other. Family therapy may be especially helpful in supporting a family member with mental health or working through life transitions.

Why choose Balanced Thoughts Therapy

There are plenty of different therapists in Maryland, so it's important to find the clinician who's best suited to your needs. Here are a few reasons to consider working with our practice.

We prioritize the therapeutic relationship.

While a clinician's training, education, and modalities are all important, we believe that the therapeutic relationship is key to helping our clients get the most out of therapy. We're dedicated to building a strong, trusting relationship with each person we work with. We want to make sure that therapy is a place where you feel comfortable and supported in sharing the most vulnerable parts of yourself.

We have a diverse range of specialties.

At Balanced Thoughts Therapy, we provide mental health services for an array of different issues. We have experience treating anxiety, mood disorders like depression and bipolar disorder, substance abuse, and more. Beyond specific mental health concerns, we can also support you with grief, life changes, relationship concerns, and family challenges.

We value accessibility.

We believe that mental health treatment should be within reach for anyone who wants it. We're committed to making therapy accessible through partnering with health insurance companies and offering sliding-scale spots to those who qualify.

FAQs about working with a therapist in MD

  • Seeking therapy is a personal decision, so there's no right or wrong time to connect with a therapist. At the same time, there are many common reasons why people start therapy. Here are just a few.

    • Racing thoughts, like your mind can never shut off

    • Feeling consistently stressed and overwhelmed

    • Struggling in relationships

    • Substance use that interferes with your daily life

    • Big life changes like starting a new job, moving, ending a relationship, welcoming a child, and more

    • Physical symptoms like sleep issues, muscle tension, headaches, stomach problems, and more

    Therapy can help even if none of these reasons resonate with you. Each person has their own motivation for seeking therapy, so if you're interested in starting your personal growth journey, we encourage you to reach out.

  • Psychologists are one type of mental health professional. They typically have a doctorate degree in psychology along with thousands of hours of supervised practice. Aside from becoming therapists, psychologists may also take on research roles or offer assessments for learning disabilities, forensic evaluations, and more.

    The term "therapist" is used to describe a diverse range of mental health professionals. Your therapist may be a licensed professional counselor, a licensed clinical social worker, or other professional. These professionals usually have a master's degree in a counseling-related field along with thousands of hours of supervised practice.

    While a therapist's education and credentials are important to consider, they're only one part of the equation. You'll also want to consider a therapist's expertise in working with the type of challenges you're experiencing, along with the person-level connection you feel when speaking to them.

  • There are many different methods that Maryland therapists use to help people. Some common ones are cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), acceptance and commitment therapy (ACT), eye movement desensitization and reprocessing therapy (EMDR), and more.

    We recommend doing a bit of research into each modality to find out if there's a specific one that resonates with you. At the same time, many therapists use a combination of different methods to help their clients, and your therapist can provide personalized recommendations once they get to know you.

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Get the professional support you need to start making changes today.

Ready to finally take concrete steps toward your goals? We're here to help. Whether you're looking for support as an individual, couple, or family, we provide personalized therapy sessions that will give you the tools and support you need to thrive.