Giselle DeGrafenreid , MD, LCSW-C

Giselle DeGrafenreid is a Maryland-licensed clinician with 23 years of professional experience who focuses on helping people navigate stress, anxiety, family conflicts, motivation challenges, self-esteem and confidence issues, and depression. She holds an MD, indicating medical training, and an LCSW-C, a clinical social work license that reflects specialized training in therapeutic practice.

Giselle draws on her long experience to support individuals facing mood concerns and interpersonal struggles, helping them identify practical steps toward greater functioning and well-being. She approaches each person as the expert of their own story, building on existing strengths and resources to address obstacles and move toward meaningful change.

Recognizing that reaching out for help takes courage, Giselle offers steady support and encouragement during the process of growth. Her work emphasizes empowerment, collaboration, and realistic goal-setting so clients can take actionable steps toward a more fulfilling and balanced life.

Evidence-Based Approaches Delivered Remotely

Giselle uses evidence-based therapeutic techniques tailored to the concerns people bring to therapy. She employs skills-based strategies to address stress and anxiety, teaching practical tools for managing worry, tension, and daily triggers so clients can restore functioning and reduce overwhelm. She also focuses on mood regulation techniques for depression and bipolar-related difficulties, helping people understand mood patterns and build routines that support stability and clearer decision-making. Additionally, her work includes communication and conflict-resolution interventions that strengthen relationships and improve problem-solving in family and interpersonal contexts.

Finding the right therapeutic approach is part of the work; Giselle collaborates with each person to identify which techniques fit their needs, goals, and preferences. Licensed professionals often adapt methods over time, and Giselle emphasizes a collaborative process so clients can feel involved in choosing the most helpful direction.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit care into busy lives, maintain continuity of support, and access work with a therapist from different locations while preserving a consistent therapeutic relationship.