Kara Holthaus, Heart Centered Therapy LLC

What I Offer I offer private pay online therapy in Maryland for professionals, caregivers, and high-functioning adults who are ready to do deep, lasting work. I help successful, thoughtful adults understand and heal the emotional impact of growing up in a family marked by addiction, chaos, or emotional neglect. Who I Work With I work with adults who appear capable and successful but feel a quiet dissatisfaction inside. My clients often navigate relationship conflict, family-of-origin wounds, or cycles of codependency and perfectionism. They are ready to stop running on autopilot, understand themselves on a deeper level, and create healthier relationships with others and with themselves. Specialities I work with adults who want to: Heal from childhood emotional neglect, addiction, or dysfunction Address perfectionism, people-pleasing, and burnout Break free from family-of-origin patterns Reduce shame, anxiety, and self-criticism Strengthen boundaries and emotional safety Build self-compassion and inner calm My Approach Our work focuses on identifying patterns that no longer serve you and healing the roots beneath them. I integrate Attachment Theory, EMDR Therapy, and Inner Child Work informed by Pia Mellody’s Post Induction Model. I also draw from Kelly McDaniel’s work on mother-daughter relationships, High Conflict Institute approaches for coparenting and relationship dynamics, and trauma-informed care influenced by Diana Fosha’s AEDP model. Sessions are collaborative, compassionate, and grounded in curiosity and respect for your story. About Me I became a therapist after my own transformative experience in therapy, and I understand the courage it takes to do this work. Before becoming a counselor, I worked in nonprofit operations and corporate account management. I grew up in the rural Midwest and now call the DMV home. Outside of work, I love exploring coffee shops, playing card games, and reading nonfiction. Heart Centered Therapy is a safe, affirming space for LGBTQ+ clients and people from diverse backgrounds. Sessions I offer virtual therapy for adults in Maryland, including Frederick and Montgomery Counties, as well as the greater DMV region. Sessions are 50 minutes and conducted through secure telehealth. I am a private pay therapist and do not accept insurance, but I can provide a SuperBill for out-of-network reimbursement. Contact I’d love to hear from you. Email me to schedule a free 15-minute consultation: Kara@HeartCenteredTherapyLLC.com