Colette C. Horn, PhD in Baltimore: Individual Psychotherapy for Adults in Clinical Practice

Colette C. Horn is a licensed clinical psychologist with a PhD offering individual outpatient psychotherapy to adult clients in Baltimore. She practices privately and specializes in evidence-based treatment with an emphasis on psychological flexibility and personal meaning, drawing on acceptance and commitment therapy (ACT) and cognitive-behavioral approaches.

What the practice is

Dr. Horn operates a sole-practitioner psychology practice in Baltimore focused on individual therapy. As a PhD psychologist, she is trained and licensed to diagnose and treat mental health conditions, conduct formal psychological assessment, and provide psychotherapy. Her practice sits in the category of outpatient, office-based counseling and does not include psychiatry or medication management; she works with clients who need talk therapy and may refer to a psychiatrist when medication evaluation is warranted.

Services and fee structure

Dr. Horn provides weekly individual psychotherapy sessions. A single session typically runs 45 to 50 minutes. Her fee structure and accepted insurance are factors that should be confirmed directly with her office; many Baltimore private-practice psychologists charge between $120 and $200 per session for uninsured clients, with actual out-of-pocket cost depending on the client's insurance plan, deductible status, and whether the therapist is in-network with that plan. Her clinical approach integrates cognitive-behavioral therapy with acceptance and commitment therapy, meaning sessions may combine structured skill-building with exploration of values and meaning.

How it compares to other Baltimore counseling options

Dr. Horn's independent practice differs meaningfully from larger clinic settings in Baltimore. Community health centers such as those operated by the Maryland Department of Health offer sliding-scale fees and serve uninsured populations; these centers are appropriate when cost is the primary barrier and a client accepts shorter initial appointments and potential wait lists. University-affiliated clinics at Johns Hopkins and University of Maryland also provide therapy at varying fee levels and train early-career clinicians under supervision. Private practitioners like Dr. Horn typically offer longer-term continuity with a single provider, more flexible scheduling for established clients, and no wait list, but charge higher out-of-pocket costs unless insurance reimbursement applies. For someone prioritizing access to a specific clinician's approach and consistency over affordability, independent practice is the better match; for someone without insurance or with very limited income, a community clinic is more appropriate.

Who benefits and who does not

Dr. Horn's practice suits adults seeking ongoing individual therapy with a licensed psychologist who uses evidence-based methods and emphasizes values-driven change. Clients typically work with her for recurring struggles with anxiety, depression, life transitions, or interpersonal patterns. Adults with severe acute psychiatric symptoms (active suicidality, psychosis, acute mania) or those needing psychiatric medication management may need concurrent or alternative care with a psychiatrist or psychiatric nurse practitioner; her practice is outpatient therapy only and not appropriate as a sole resource for crisis intervention. Clients without insurance or limited ability to pay may find costs prohibitive compared to community mental health centers.

What the first appointment involves

An initial session typically includes a clinical interview covering presenting concerns, mental health and medical history, current medications, substance use, and family history. Dr. Horn will clarify her approach, discuss confidentiality and its limits, and establish agreements about frequency and duration. She may use this session to begin assessment of the client's values and sources of meaning, consistent with her therapeutic orientation. The first visit allows both client and therapist to gauge fit; many psychologists and clients recognize within one or two sessions whether the match is workable.

Location, hours, and scheduling

Dr. Horn's practice is located in Baltimore; specific address, office hours, and how to schedule should be obtained by calling or visiting her office directly, as independent practices vary in their scheduling policies, whether they maintain a cancellation list, and how far in advance appointments can typically be booked. Many private practitioners in Baltimore offer appointment times in late afternoon or early evening to accommodate working clients.

Why this practice matters in Baltimore

A single-provider psychotherapy practice offers continuity and personalized care for clients willing to invest in ongoing mental health support, and Dr. Horn's training and licensure level qualify her to manage the full range of adult outpatient therapy. In a city where access to mental health care remains uneven, private practitioners fill a niche for clients with insurance or means, though they are not a substitute for the publicly funded and safety-net systems that serve Baltimore's uninsured population.