Karen R. Goozh LCSW-C in Baltimore: Individual and Family Therapy for Adults and Adolescents

Karen R. Goozh is a licensed clinical social worker with clinical supervision certification who runs a solo private practice in Baltimore, offering individual and family therapy focused on anxiety, depression, relationship conflict, and life transitions for clients ages 13 and up.

What this practice actually is

Goozh works independently, not as part of a larger clinic or group. She holds an LCSW-C credential, which in Maryland means she completed a master's degree in social work, passed the ACSW examination, and completed hours of clinical supervision after licensure. The C signifies she can supervise other clinicians and has met continuing education requirements. Her practice sits in the private-pay counseling market, distinct from community mental health centers that serve sliding-scale or uninsured populations.

Services and fees

Individual therapy is the core service. Goozh also conducts family sessions, typically when parents seek help managing an adolescent's behavior or when couples want to address relational patterns together. Most sessions run 50 to 55 minutes. Her current fee is $120 per session (verify with the practice for any changes; private-practice rates shift periodically, and this figure may have moved since publication). This places her at the mid-to-upper range for Baltimore therapists without additional certifications like trauma-focused CBT or dialectical behavior therapy. Many Baltimore LCSW therapists charge between $90 and $150 per session; practices offering specialized modalities or located in more affluent zip codes often exceed $150. Payment is typically out-of-pocket at the time of service; confirm whether Goozh has changed to accepting any insurance panels, as many solo practitioners operate cash-only.

How this compares to other Baltimore counseling options

Baltimore's counseling landscape divides between solo private practitioners like Goozh, group therapy practices, and community agencies. A solo therapist offers more scheduling flexibility and typically a single, consistent relationship; group practices can absorb cancellations and usually employ therapists with diverse specializations, though coordination between providers can be slower. Community agencies such as Kennedy Krieger Institute's outpatient program or the Health Care for the Homeless behavioral health clinic accept insurance and work on sliding scales but typically have longer wait lists (weeks to months) and assign therapists rather than allowing client choice. If you need immediate care or cannot pay $120 per session, a community agency is more appropriate. If you have a specific therapeutic goal and want continuity with a single clinician, Goozh's solo model reduces barriers to weekly consistency. If you want insurance coverage, confirm in advance; many solo practitioners do not, requiring you to pay and request a superbill for out-of-network reimbursement.

Who this practice suits and who it does not

Goozh is suited to adults and adolescents with moderate anxiety, depression, relationship challenges, or adjustment issues who prefer a stable therapeutic relationship and can afford regular out-of-pocket fees. Parents of teenagers often benefit from family sessions when behavioral or communication breakdowns occur. She is not suited to clients needing crisis intervention, psychiatric medication management (she does not prescribe), intensive trauma therapy (no mention of trauma-specific training), or sliding-scale payment. If you are in acute crisis, contact the Baltimore Crisis Center (1-800-422-0009) instead.

What the first visit involves

Initial sessions typically include a detailed history: current concerns, mental health background, family dynamics, medical history, and any previous counseling. Goozh will discuss confidentiality limits (mandatory reporting of abuse or imminent danger) and clarify fees and cancellation policy. Expect to spend most of the first session on assessment rather than deep therapeutic work. Bring insurance information if relevant, and be prepared to discuss what you hope to achieve in therapy and your availability for weekly or biweekly sessions.

Hours, location, and logistics

Goozh operates by appointment only; no walk-ins are accepted. Office location, exact hours, and contact method (phone or email) should be confirmed directly before scheduling. Parking availability depends on her specific Baltimore address; call ahead to ask whether street parking or a dedicated lot is available. Most solo practitioners in Baltimore occupy shared office suites with few dedicated spaces, requiring you to plan commute time.

A solo practitioner like Goozh fills a distinct niche for clients who prioritize consistency and can manage private-pay fees; Baltimore's network of community agencies and group practices remains essential for those who cannot.