Kara Goralski, MD, LCSW-C

Kara Goralski, MD, LCSW-C, is a licensed therapist in Maryland with 12 years of clinical experience supporting people through challenging emotional and behavioral concerns. She combines a medical background as an MD - Doctor of Medicine - with a clinical social work license (LCSW-C) that authorizes her to provide psychotherapy, bringing both medical insight and therapeutic skill to her work.

Kara focuses on helping individuals strengthen communication, manage anger more effectively, and build lasting self-esteem. She has particular experience supporting adults navigating ADHD-related difficulties, offering practical strategies to reduce overwhelm, improve focus, and develop sustainable coping skills. Her practice emphasizes understanding each person’s unique patterns and tailoring interventions to match real-world needs.

Her approach is collaborative and personalized, grounded in evidence-based therapeutic techniques and guided by empathy. Kara works with clients to identify strengths, set achievable goals, and practice concrete skills that support meaningful change. The aim of her work is to empower people to overcome obstacles, improve relationships, and create clearer pathways to personal growth.

Practical evidence-based approaches delivered online

Kara uses evidence-based, skills-focused techniques to help clients address anger, self-esteem, and ADHD-related challenges. She employs behavioral and skills-building strategies that teach concrete practices for regulating emotions, managing impulsive reactions, and improving attention and daily routines. These approaches are practical and aimed at changing patterns through repeated practice and problem solving.

She also integrates cognitive strategies that help individuals identify and reframe unhelpful thoughts that undermine self-worth and confidence, supporting improvements in self-esteem and decision making. Communication skills training is another focus - teaching ways to express needs, set boundaries, and resolve conflicts more effectively in relationships.

Finding the right therapeutic approach is part of the process and Kara takes a collaborative stance. She works with each person to assess needs, preferences, and goals, and adjusts techniques over time so therapy fits the individual rather than forcing a single method.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit sessions into a busy life and maintain continuity of care. Working remotely allows licensed professionals to offer consistent support while accommodating different schedules and communication preferences.