Susanna Armstrong, MD, LCPC

Susanna Armstrong is a Licensed Professional Counselor and medical doctor practicing in Maryland. She has 14 years of experience helping people who feel overwhelmed by anxiety, depression, addiction, relationship strain, or big life changes. Her style is straightforward and warm, aimed at making therapy usable day to day.

She uses Cognitive Behavioral Therapy to help people notice unhelpful thoughts and try new behaviors. She pairs that with client-centered work so sessions reflect each person's pace and priorities. Mindfulness and motivational interviewing are tools she brings in to strengthen coping and resolve ambivalence.

Many referrals come from concerns about substance use and process addictions such as gambling or problematic online behaviors. She also supports people coping with bipolar mood swings, ADHD, sleep problems, seasonal mood shifts, and trauma histories. Self-harm, somatization, and co-occurring mood and substance issues are included in her focus areas.

Susanna favors practical steps - goal setting, skill practice, and brief experiments between sessions. She also discusses lifestyle factors like movement and nutrition when they matter to symptoms and recovery. Sessions aim to produce clear next steps rather than only talk.

Therapy sessions are offered by video calls, phone, live chat, or text messaging. Sessions use a subscription model that can be canceled at any time, and language of service is English.

How her approaches work online

Susanna often uses Cognitive Behavioral Therapy to help people spot thinking patterns that feed anxiety or low mood and then try concrete behavior changes. She also draws on Client-Centered Therapy to shape sessions around each person's goals and pace, offering support and reflection rather than a fixed script. Mindfulness Therapy is used to build present-moment awareness and steady attention when stress or cravings increase.

Choosing the right approach is part of the work together. The therapist will review symptoms, goals, and preferences and then try methods that fit. That process is collaborative and can shift as needs change over time.

Online formats include video calls, phone sessions, live chat, and text-based messaging to fit different routines. Video is useful for face-to-face conversation and skill coaching. Phone works well when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging allow quick check-ins, short coaching, or ongoing support between longer sessions. These options make it easier to keep therapy on track around work, school, or caregiving.