Desiree Gharakhanian , MD, LCSW-C

Desiree Gharakhanian, MD, LCSW-C, is a licensed clinical social worker based in Maryland with six years of experience supporting people through life changes and emotional challenges. MD indicates a medical degree, and LCSW-C stands for Licensed Certified Social Worker - Clinical, a credential for clinicians trained in social work and clinical care. Desiree has worked with individuals facing stress, anxiety, anger, depression, motivation and self-esteem concerns, and she brings practical experience helping clients build confidence and cope with transitions.

She offers a calm, non-judgmental approach focused on exploring current struggles, recognizing existing strengths, and developing realistic, actionable strategies. Desiree emphasizes collaboration, working alongside each person to tailor interventions that fit their priorities and daily life. Whether addressing relationship difficulties, grief, or questions of life purpose, she centers respect and empathy while guiding clients toward clearer thinking and better coping.

Desiree also attends to related concerns such as communication problems, forgiveness work, feelings of guilt or shame, isolation, veteran and armed forces issues, and post-traumatic stress. Her practice is oriented toward evidence-based therapeutic techniques combined with compassionate support to help people move forward with greater resilience and self-understanding.

Evidence-based techniques and online care

Desiree uses evidence-based therapeutic techniques that combine practical skill-building with attention to emotional experience. One common focus is skills-based intervention, which teaches concrete tools for managing stress, anxiety, anger, and mood - skills that can be practiced between sessions to improve daily functioning. Another emphasis is emotion-focused work, helping clients process grief, guilt, shame, and relationship pain by identifying feelings, exploring their sources, and developing healthier responses.

Finding the right approach is part of the therapeutic process, and Desiree works collaboratively with each person to determine what fits their needs, goals, and preferences. She tailors methods over time, adjusting strategies based on what is most helpful for the individual.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for busy schedules and varied comfort levels. These formats make it easier to connect from different locations, maintain continuity of care during life transitions, and access support when in-person visits are not practical, while working with licensed professionals and therapists who guide the process.