Specializing in working with high-functioning individuals struggling with mental health behind the scenes, with women regaining their self-esteem, and with people healing from the effects of unhealthy or abusive family or relationship dynamics. I also have a focus on de-stigmatizing men’s mental health and helping them navigate how to feel again.

Fiona Kay, LCSW-C

Licensed Clinical Social Worker

Serving adults 18+ all across Maryland via telehealth

About Me

As a licensed social worker with experience in different settings including outpatient mental health agencies and school-based therapy, I provide a comprehensive approach to treatment. Additionally, my lived experience provides me with the opportunity to cultivate a safe and sacred space without judgment, where you can be seen and heard.

I can help you navigate anxiety, panic, depression, life transitions, perfectionism, and identifying and healing from dysfunctional relationships. While I utilize trauma-focused cognitive behavioral therapy, strengths-based, and psychodynamic approaches, I recognize that each person brings their own unique needs to the therapy space. Your treatment is tailored to your specific needs.

Services

  • You may have heard of CBT, or cognitive behavioral therapy, which is one of the most effective therapy modalities for depression and anxiety. CBT involves the process of identifying how our thoughts and feelings impact our behaviors and actions. With this knowledge, we can begin to shift unhelpful thinking to improve self-esteem, self-worth, and mood. I integrate a trauma-focused lens to CBT, meaning I recognize the impact that trauma has on the mind and body, and we can work together to heal your mindset so that everyday life can feel more manageable.

  • Oftentimes, people think of therapy as just discussing everything that’s going wrong in life. A strengths-based approach to treatment focuses on your strengths and resources as opposed to what you want to “fix.” Strengths-based therapy can help you tap into the positive aspects within you to adjust your mindset and find solutions to problems.

  • Psychodynamic therapy focuses on the impact of early life experiences on the subconscious mind. Adverse experiences in childhood can affect the mind and cause difficulties maintaining relationships and our sense of self. Defense mechanisms arising from these experiences can make daily life challenging, and we can learn how to feel better by learning more about what the root causes of some of your stressors are.

  • I also utilize techniques from somatic therapies and mindfulness, which are particularly helpful for anxiety and panic. Body-based techniques can clam down our sympathetic nervous system, and with the strong connection between mind and body, feeling physically better can in turn improve our mental health.

    Dialectical behavior therapy focuses on distress tolerance of difficult emotions and maladaptive coping skills. DBT can be helpful for identifying specific coping strategies to manage stressors and navigate high-intensity emotions. DBT can be especially helpful for building healthy relationships and healing from dysfunctional ones.

Frequently Asked Questions

  • At this time, I am an out-of-network provider. With this model, treatment can be exactly what you need it to be, without the limitations of ever-changing requirements for coverage impacting your care.

    While I do not take insurance, I can provide you with a superbill, which can often cover the majority, if not the entire cost of sessions.

  • Sessions are $150 and are between 45 and 55 minutes.

    Sessions are held on a weekly or biweekly basis.

    All accepted forms of payment are PCI-compliant to keep customer card data secure.

  • I am currently only seeing clients via telehealth. Telehealth sessions are offered via Sessions, which is an encrypted, HIPAA-compliant platform. While I am based out of Montgomery County, MD, I see clients all across the state of Maryland.

  • Clients benefit the most if they attend therapy on a regular and consistent basis. Due to the immense demand for mental health services, it is important to ensure you are there for your session. If for some reason you can’t, you give ample notice so that someone else can have the opportunity for care is greatly appreciated.

    You must provide at least 48 hours notice to cancel any appointments. Late cancellations are sessions canceled less than 48 hours before the scheduled session time. You will be responsible for the full fee ($150) if you cancel within 48 hours of your appointment time, or if do not show up for a session.

    Telehealth offers a convenient and flexible option for therapy. However, please ensure you are in the state of Maryland for all sessions, and that you are in a private, quiet space, with minimal distractions so that you can be fully present for our time together.

Contact me to get started!