Online couples counseling in Maryland and Pennsylvania
It’s time to stop pretending everything’s fine
Right now, it’s not. But you (and your relationship) will be.
You don’t have a “communication problem.” You’re going through something deeper. Once you figure out what it is, your relationship can get better — with your partner and with yourself.
You’re one half of a relationship, but you deserve to feel whole
Yes, you want to please your partner. But you also need to please yourself.
If you're not fully connected to yourself, it's hard to fully connect with anyone else. That’s why my approach to couples therapy starts with self-compassion.
When you stop looking outward for what you “should” be doing, and instead go inward for what you want to be doing, you become the author of your own life. That agency, accountability, and confidence shape how you show up for others, too.
I like to think of it as building a tool bag you didn't have in childhood — one you can draw from when life (or your relationship) gets hard.
Common concerns my clients experience
When one of you has ADHD
(Whether it’s named or not)
One partner starts carrying more, while the other feels constantly criticized.
Whether there’s an ADHD diagnosis or just a suspicion, it's a dynamic that’s put you both on different teams. I'll help you get back on the same one.
When there’s been an affair
(Whether it’s recent or not)
Betrayal, shame, and those impossible pro/con lists debating whether to stay together… we address them all head-on.
Healing is possible, no matter when the affair occurred, as long as you’re both willing to hear and be heard.
When there’s been a big transition
(Like a new baby, move, or diagnosis)
Whatever high winds you’re facing, you don’t have to weather them alone.
Nor do you have to wait for a full-blown storm to strengthen your (relation)ship. I’ll provide the tools you need.
Why you want a couples therapist who specializes in sex
(Even if sex isn’t what brought you here)
Meet Jan Carey, LCSW-C, LCSW, CST
Sometimes, relational distance shows up first as sexual distance. Sometimes, it’s the opposite. Either way, it’s helpful to talk to someone who’s specifically trained in human sexuality.
Even if sex isn’t a core part of your relationship, it may show up in subtle ways. If and when it does, I’m prepared to help, with nearly a decade as an AASECT-certified sex therapist under my belt.
How online couples therapy with Jan Carey works
FAQs about online couples therapy
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Yes! I provide virtual couples therapy for clients in Maryland and Pennsylvania, so you can access support without the stress of commuting. Online sessions are just as effective as in-person therapy and allow you to work on your relationship from home.
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While I specialize in both couples therapy and sex therapy, they often overlap. You may come in thinking your concerns are more relational, only to discover you need sexual support as well, or vice versa. As an AASECT-certified sex therapist, I am trained to help you work through any issue, no matter how intimate.
I don’t actually book separate sessions for couples therapy and sex therapy. Every virtual session is one flat rate, whether I’m seeing an individual or a couple. Whichever point your relationship is starting from, we’ll go down the path you and your partner need to follow to reconnect with each other (and yourself).
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Not necessarily. Sometimes one partner chooses to start alone because they want to work on something personal, or because their partner refuses to start with them. In either case, the other partner can always join later.
If your intention is to be seen together, I require both partners to attend both your consultation call and your first session. That way, we avoid any secrets or power dynamics, and we create alignment from day one.
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It’s a valid concern, but no. This is why I require both partners to attend your consultation call: because I want to ensure you’re both bought in to working with me, and because I want to ensure we’re all on the same page from day one.
I treat each partner with curiosity and respect, asking questions to ensure both voices are heard. I will tell you what I observe, even if it’s uncomfortable. But I won’t decide who’s “right” and who’s “wrong.” Instead, I point out the behavior that creates a bind for you both
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I see couples across the full spectrum of identities, orientations, and relationship structures. You don’t have to explain or justify your relationship to me. I don’t judge. I just help.
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Online couples therapy is a great option if:
✔ You and your partner have busy schedules and need flexibility.
✔ You prefer a private, comfortable setting for difficult conversations.
✔ You have young children and don’t want to involve a babysitter.If you’re unsure whether virtual sessions are the right fit, I’d be happy to discuss what works best for you.
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Most couples therapy hovers around the surface, attributing relational problems to “communication.” But communication is the symptom, not the root cause.
As an online couples therapist with 20+ years of experience (and an ADHD-assisted brain), I’m adept at spotting the patterns beneath the behaviors, so you can understand why you or your partner react in certain ways — and how to create the lasting change you’re looking for.
Another reason couples therapy may not have worked for you is if it didn’t address the elephant in the room: sex. As an AASECT-certified sex therapist, I’m trained in the sexual and relational overlap that many general couples counselors miss.
Ready to feel like partners again?
Let’s figure out how to go from “everything’s fine” to “we’ve never been better”
Being vulnerable is the portal to feeling seen, heard, and chosen. It starts with one honest conversation.