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Licensed Psychotherapy and Counseling Services in Washington, DC
Karen Osterle, LICSW is a licensed psychotherapist and marriage counselor with extensive experience in helping adults and couples achieve personal growth and improved relationships. Specializing in anxiety management, self-esteem therapy, and couples counseling, our practice combines compassionate support with evidence-based techniques tailored to individual needs. With over two decades of clinical expertise and a focus on solution-focused and insight-oriented approaches, we provide a safe space for clients to explore challenges and develop meaningful change.

Our services address depression, relationship conflicts, grief, and life transitions, emphasizing practical feedback and personalized strategies. Located in Washington, DC, we serve diverse populations including international professionals and members of the diplomatic community, offering both in-person and teletherapy options.
Services
Psychotherapy Couples Counseling Self-Esteem Therapy Anxiety Management Stress Management Grief and Loss
Highlights and features
  • Over 20 years of clinical experience in psychotherapy
  • Personalized therapeutic approach for individual needs
  • Specialized in anxiety, relationships, and self-esteem issues
  • Compassionate, solution-focused, and insight-oriented methods
  • Licensed in multiple states with multicultural expertise
Services
Psychotherapy
Individual psychotherapy addresses anxiety, depression, and life transitions through personalized, evidence-based approaches. Clients develop self-awareness and coping strategies while exploring relationship patterns and emotional challenges. The process fosters meaningful change and improved daily functioning for adults seeking emotional growth.
Couples Counseling
Couples therapy improves communication and intimacy while resolving conflicts in romantic relationships. Sessions focus on rebuilding trust, managing differences, and strengthening emotional connections through structured, solution-oriented techniques. Premarital counseling and separation guidance are also available for couples at different life stages.
Self-Esteem Therapy
Self-esteem counseling addresses negative self-perception and insecurity through targeted interventions. Clients learn assertiveness skills and challenge harmful thought patterns while developing healthier self-views. The therapy helps individuals overcome comparison-based thinking and build authentic self-worth.
Anxiety Management
Anxiety therapy identifies root causes of worry while teaching practical coping mechanisms. Clients learn to regulate emotional responses through mindfulness techniques and cognitive restructuring. The approach combines symptom relief with long-term strategies for emotional flexibility and resilience.
Grief and Loss
Grief counseling helps process emotional pain from significant losses, whether through death, relationship endings, or life changes. Therapists guide clients through stages of mourning while developing healthy coping strategies. The process emphasizes acceptance, emotional healing, and renewed life perspective.
People
Karen J. Osterle
Licensed Psychotherapist
Karen Osterle is a licensed clinical social worker with over 20 years of experience in psychotherapy. She specializes in anxiety disorders, relationship counseling, and self-esteem building, using evidence-based approaches tailored to individual client needs.
Questions
What types of therapy services are offered?
We offer individual psychotherapy, couples counseling, anxiety management, self-esteem therapy, and grief counseling tailored to adult clients' specific needs.
Do you accept insurance for therapy sessions?
The practice operates as an out-of-network provider, allowing clients to submit claims directly to their insurance companies for potential reimbursement.
Are teletherapy sessions available?
Yes, HIPAA-compliant virtual therapy sessions are available for clients who prefer remote access to counseling services.
What is the cancellation policy?
Clients are asked to provide 24 hours' notice for appointment cancellations to avoid being charged for missed sessions.
How long are therapy sessions?
Standard therapy sessions last 50 minutes, with extended sessions available for specific therapeutic needs when necessary.