Patrick Scally, MD, LCSW-C

Patrick Scally is a therapist who uses practical, evidence-based methods to help people manage stress, anxiety, depression, grief, and motivation problems. He blends talking and problem-solving in ways that fit each person's life. Patrick holds an MD and is a Licensed Clinical Social Worker - Certified in Maryland. He brings long experience to the room and keeps sessions straightforward and respectful.

He focuses on clear goals and skills you can use between sessions. That often means identifying unhelpful thinking patterns and testing small changes in behavior. He also pays attention to personal history and relationships that shape how people respond to stress and loss.

Patrick adapts his approach to what each person needs. Sometimes he listens and reflects to help someone feel heard. Other times he introduces tools for coping, motivation, or better sleep. He encourages clients to share feedback so the plan stays useful and realistic.

Over five decades of work have included helping people facing addiction, trauma, intimacy issues, career stress, parenting strain, and compassion fatigue. He also has experience with attention-deficit concerns, abandonment issues, codependency, and problems that arise during life transitions.

Sessions can be arranged by video call, phone, live chat, or text messaging. Patrick aims to support steady progress with clear steps and regular check-ins. He emphasizes a respectful, collaborative process that honors each person’s goals.

Practical approaches for online therapy and change

Patrick often uses cognitive behavioral therapy to help identify and change unhelpful thoughts and the behaviors that follow. CBT usually focuses on goal-setting, testing small changes, and building concrete skills for anxiety, depression, sleep, and motivation issues.

He also uses client-centered therapy to create an accepting, listening space where people can talk through their concerns. That approach emphasizes understanding each person's experience and using their feedback to guide the work.

Finding the right mix of approaches is part of the process. He collaborates with clients to choose methods that fit their needs, goals, and preferences, and adjusts the plan as progress happens and priorities shift.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which offer flexibility for different schedules. Video is useful for a full session where visual cues matter. Phone sessions can be easier when bandwidth is limited or when someone needs a quicker check-in. Live chat and text messaging work well for brief updates, coaching-style support, or midweek check-ins that keep momentum between longer sessions.