Marianne Becker in Baltimore: Individual Therapy and Psychiatric Care for Adults
Marianne Becker is a licensed therapist and psychiatric nurse practitioner operating a small private practice on the North Shore, offering individual psychotherapy and medication management to adults on an appointment basis.
What Marianne Becker actually offers
Becker's practice combines talk therapy with psychiatric evaluation and prescribing. Clients see her for depression, anxiety, trauma, grief, and relationship issues, or for medication review and adjustment when psychiatric drugs are already part of their treatment. She does not conduct group sessions or couples therapy. The practice operates by appointment only, with no walk-in availability.
Services and pricing
Individual therapy sessions run 50 minutes and cost $150 per session. Initial psychiatric evaluations, which include a detailed history and assessment for medication candidacy, run $200. Medication follow-up appointments are typically 30 minutes at $100. Most insurance plans are accepted; clients should verify their plan's coverage and any out-of-pocket responsibility with their insurance company before the first visit, as copay and deductible responsibility varies significantly. Becker does not offer a sliding scale or reduced fees for uninsured clients; payment is due at the time of service.
How it compares to other Baltimore counseling options
Baltimore has both large community mental health centers that serve uninsured and low-income clients, such as the Baltimore-based clinic networks operated by Behavioral Health System Baltimore, and numerous private therapists working in similar solo or small-group practices throughout Fell's Point, Canton, and Fells Point. Becker's main distinction is the integration of psychiatric prescribing in the same practice; many therapists in Baltimore refer clients to separate psychiatrists or primary care doctors for medication. This can reduce the coordination gaps some clients experience when therapy and prescribing are fragmented across providers. Community health centers typically charge on a sliding fee scale and accept Medicaid; private practitioners like Becker usually accept insurance but charge standard rates regardless of income. If cost is the primary concern, community centers are the stronger choice. If coordination between therapy and medication management matters most, an integrated practice like Becker's can be efficient.
Who this practice suits and who it does not
Becker is a good fit for employed adults with health insurance who need both therapy and psychiatric medication management, and who prefer consistency with a single clinician. She also works well for clients already on psychiatric medications who want a therapist who understands their prescriptions directly, without relying on phone calls between providers. The practice does not suit uninsured or low-income clients, people in crisis requiring immediate stabilization or hospital-level care, adolescents, or clients seeking group therapy or couples counseling.
What the first visit involves
New clients should expect a 60 to 90 minute initial appointment. If medication management is the primary goal, this session includes a full psychiatric history, symptom review, medical history, family psychiatric history, and current medication review. Becker will assess whether medication is appropriate and which class or specific drug might fit the client's presentation. If therapy is the primary goal, the first session covers presenting concerns, life history relevant to those concerns, and goals for treatment. Becker will also discuss confidentiality, fees, and cancellation policy. It is typical for therapy clients to begin weekly 50 minute sessions; medication management clients may start with 4 to 6 week intervals, with frequency adjusted based on response and stability.
Hours, parking, and logistics
The practice operates Monday through Friday, 9 a.m. to 5 p.m., with some early morning and evening slots available; clients should call to confirm current availability. The office is located on the North Shore near the inner harbor and has street parking available; dedicated lot parking is not offered. There is no public transportation entrance directly adjacent to the building, though multiple bus routes service the neighborhood. Verify current hours before scheduling, as availability can shift with clinical volume.
Becker's practice fills a specific niche for Baltimore adults who want psychiatric medication management and therapy under one roof and have insurance coverage. For those outside that profile, community health centers or other private practitioners may be more accessible.

