About Kara
Kara Goralski is a licensed clinician in Maryland with twelve years of experience. She holds an MD and is an LCSW-C, and she helps people who struggle with anger, low self-esteem, and challenges tied to ADHD. Kara focuses on clear, practical steps and straightforward conversations.
She listens first to understand how daily life is affected. Then she works with each person to set small goals that fit their routine. Sessions mix problem-solving, communication practice, and planning that people can try between meetings.
Background and approach
Kara pays attention to how relationships and communication shape stress. She helps people practice phrases and approaches they can use in tense moments. The aim is to reduce reactive responses and increase choices in how someone responds.
When ADHD makes organization or focus harder, Kara breaks tasks into manageable parts. She helps build routines and coping strategies that match a person’s strengths and needs rather than insisting on one fixed method. Her style is collaborative and direct.
People who prefer clear steps, concrete tools, and a supportive listener tend to do well. She encourages regular check-ins to track progress and adjust plans as life changes.
Approaches that guide online sessions
Kara uses evidence-based therapeutic techniques that focus on practical change and improved daily functioning. One approach emphasizes building concrete routines and task breakdowns to improve focus and follow-through; this helps people with ADHD-related challenges manage tasks without feeling overwhelmed. Another approach centers on communication skills training, which teaches specific phrases, boundary setting, and problem-solving steps to reduce conflict and increase clarity in relationships.Finding the right mix of techniques is a collaborative process. Kara works with each person to try approaches, see what fits, and adjust the plan based on goals and what feels useful. Sessions are paced to match each person’s needs and priorities rather than following a fixed template.
Online therapy formats available include video calls, phone sessions, live chat, and text-based messaging. Video calls are useful for face-to-face conversation and practicing skills in real time. Phone sessions can be easier when bandwidth is limited or a client prefers not to use video. Live chat and text-based messaging allow for brief check-ins, step-by-step coaching, and flexible contact between scheduled meetings. These options make it easier to fit therapy into busy days and to keep progress moving forward.
Questions people ask
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What this therapist works with
Most often
- Anger management
- Self esteem
- ADHD
Also listed
- Experience
- 12 years
- Licensed
- Maryland
- Languages
- English
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