Jan Carey LCSW

The first step is to schedule a free, no-obligation, 20-minute consultation call. We will discuss what you want to work on in therapy and I will discuss the change process. If it feels like I am a good fit for your work I will send out intake paperwork and schedule your first appointment.

Our first few therapy sessions will involve an assessment of your therapy needs and goals. There are several possible outcomes of this initial assessment, as it is an opportunity for us to decide if working together may be beneficial for you. If my therapeutic approach appears to fit with your individual goals, I will offer you some first impressions of what our work will include if you decide to continue with therapy. I encourage you to evaluate this information, along with your own opinions of whether you feel comfortable working with me, in deciding whether to continue with therapy.

If our work together feels right, we then continue on with therapy where we unpack the experiences, thoughts, feelings, and behaviors which have been blocking you from living your best life.

Therapy lasts as short as possible and as long as it takes. That sounds nonsensical but it’s true!

Therapy works best when people come weekly. It allows them to create traction on their problems mostly because you can’t change what you don’t notice. Change is hard and takes time to establish new ways of thinking, feeling, and behaving. At times people find themselves in crisis and need more support in the beginning. Meeting twice weekly until things calm down can be a good intervention. Sessions are typically 50 minutes long. They may be scheduled for larger blocks of time if discussed and agreed upon.

You will know when you no longer need it because you will have either resolved your problems, run out of things to discuss with me, or felt you have done enough growing for now. You have the final say about ending treatment. Sometimes therapy gets stalled due to not bringing in the most important feelings you are experiencing. I hope you do collaborate with me on this and allow feedback from me - sometimes it allows us to realign - but at the end of the day, you call it.

I am licensed in the states of Maryland and Pennsylvania. I currently only offer telehealth so I am able to offer services to people in both states. If using out-of-network benefits please call your plan to verify that they are reimbursing for therapy being delivered via telehealth as not all plans do.

My specialization in relationships, intimacy, and sex therapy does not exclude anyone. I serve both straight and LGBTQA clients. People who are sick and tired of being sick and tired and are ready to dig in and work are my favorite clients!

My fee is $275 per clinical hour. I am not paneled with any insurance plans but can offer you what’s called, “out-of-network benefits” (OONB). Not everyone has this as part of their benefits package but most OONB plans pay between 50% to 80% of my fee. Please call your healthcare plan and ask these questions:

1. Do I have out-of-network benefits?

2. What percentage of my therapist’s fee does my plan pay for?

3. Do I have a deductible that needs to be met before my plan pays toward my therapy?

At times insurance plans request upfront billing codes I will be using. You can share this list of codes for their approval:

90791 Psychiatric Diagnostic Assessment (from 2-4 sessions depending on the problem)

90847 Family Psychotherapy, conjoint psychotherapy with the patient present

90837 Psychotherapy, 60 minutes

90846 Psychotherapy without the patient present

90832 Psychotherapy, 30 minutes

When using OONB, I would provide you with a document monthly called a “superbill” which is like an invoice but contains the service codes, dates of treatment, and monies paid during therapy with me. You would submit this to your plan directly and your plan would reimburse you directly as well.

You can get in-network therapy if this is out of your budget. Your plan can identify providers who are in-network should you need to use your benefits.

Yes! I offer online couples therapy for clients in Maryland and Pennsylvania, so you can get the support you need from the comfort of your own home.

As an online couples therapist, I help partners improve communication, rebuild trust, and reconnect emotionally and physically, without the stress of commuting to an office.

Whether you're facing frequent conflict, emotional disconnection, or intimacy struggles, online couples therapy provides a safe space to work through challenges and strengthen your relationship.

Yes! I provide online sex therapy for individuals and couples in Maryland and Pennsylvania.

I specialize in helping clients navigate intimacy challenges, mismatched desire, performance anxiety, and out-of-control sexual behaviors like porn addiction or compulsive sexual behavior.

Because I offer virtual sex therapy, you can access support discreetly and conveniently—whether you're looking for individual guidance or couples therapy to improve intimacy and communication.

• I paint abstract art to zen out

• I weightlift olympic style and can deadlift 165 pounds

• I lived in Japan for a year when I was 18 and it gave me an appreciation for travel abroad and interest in other cultures

• I’m a dog lover and have two dogs that create regular havoc for me (but I love them!)

• I went vegan 3 years ago and am really interested in health wellbeing and reaching peak fitness

• The paintings featured on my blog is my artwork