Tammy O'Rourke , MD, LCSW-C

Tammy O'Rourke is a Maryland-based therapist with 20 years of professional experience supporting teens, families, couples, and individuals. She holds an MD, indicating medical training, and an LCSW-C, which denotes a licensed clinical social worker credential; she practices in Maryland and brings years of clinical skill to each client interaction.

Her work focuses on stress and anxiety, family conflicts, parenting challenges, self-esteem and confidence, and navigating major life changes. Tammy pairs practical, evidence-based therapeutic techniques with an emphasis on respect, sensitivity, and compassion to help clients build coping skills and move toward more satisfying lives. She also addresses issues such as abandonment, blended family dynamics, codependency, communication and control problems, guilt and shame, isolation, midlife transitions, veteran and armed forces concerns, mood disorders, and seasonal affective disorder.

Tammy individualizes discussions and treatment plans to reflect each person's unique circumstances and goals. She frames the process as a collaborative effort, helping clients identify priorities and develop strategies that fit their daily lives. Taking the first step toward change can require courage, and Tammy offers steady professional support throughout that journey.

Evidence-based approaches and flexible online care

Tammy uses evidence-based therapeutic techniques tailored to the concerns each client brings. One common focus is skills-based work for stress and anxiety - teaching practical coping strategies, relaxation and problem-solving skills to reduce distress and improve daily functioning. Another emphasis is on family and parenting support - helping family members improve communication, set healthy boundaries, and navigate blended family dynamics or parenting challenges in ways that promote stability and connection.

Choosing the right approach is a collaborative process. Tammy works with clients to identify their goals, preferences, and life context, then adjusts techniques over time so treatment remains relevant and effective. Clients are involved in planning and evaluating progress throughout care.

Online sessions - whether by video call, phone, live chat, or text-based messaging - make it easier to fit therapy into busy schedules and to access consistent support from licensed professionals. These options offer flexibility for those managing work, parenting, or mobility constraints, while allowing therapists and clients to focus on practical tools and meaningful change.