Tammy Tilson in Baltimore: Individual Therapy for Adults in Private Practice

Tammy Tilson is a licensed clinical social worker in private practice offering individual psychotherapy to adults in Baltimore, with a focus on life transitions, anxiety, and relational concerns. She operates independently rather than as part of a large group or hospital system, which shapes both appointment availability and how sessions are structured.

What Tammy Tilson actually does

Tilson conducts one-on-one therapy for adults, typically working with clients navigating job or career changes, relationship difficulties, anxiety, and adjustment to major life events. As a solo practitioner rather than a therapist embedded in an agency or clinic, she manages her own schedule and carries a caseload she can sustain long-term, which can mean shorter wait times for new clients compared to large group practices, but also less in-house crisis support if urgent psychiatric intervention becomes necessary.

Services and pricing

Individual therapy sessions are 50 minutes and cost $150 per session. Tilson works on a session-by-session basis rather than requiring a retainer or upfront package of sessions. She accepts several insurance plans; verification of your specific plan should happen during the intake call. Out-of-pocket clients pay the standard rate; the copay or coinsurance structure depends on your insurance terms. Appointments are available on a week-by-week basis, with some same-week availability for established clients needing to add a session.

How private practice therapy compares to other Baltimore options

Private therapists like Tilson differ from group practices and clinic-based counselors in meaningful ways. A large group practice, such as Sheppard Pratt's outpatient clinics, can offer on-site psychiatry, medication management, and crisis intake on the same day; Tilson refers clients needing medication to their primary care doctor or a psychiatrist in the community. Therapists in hospital systems typically have waiting lists of two to eight weeks; private practitioners often have availability within days. Community health centers such as Chase Brexton or Harbor Health offer sliding-scale fees for uninsured and underinsured clients, a resource that private practitioners do not; Tilson's fixed rate applies regardless of income. If you need therapy, don't want to wait weeks, have insurance accepted by a private practice, and don't require psychiatric medication management in the near term, private practice is efficient. If cost is a major barrier or you need integrated psychiatric care, a federally qualified health center or group practice with on-site psychiatry is more suitable.

Who it suits and who it does not

Tilson suits adults with a stable living situation, existing or developing insurance coverage (or ability to pay out-of-pocket), and mental health concerns that sit within the outpatient therapy scope. She works well for people already taking psychiatric medication prescribed by another provider, since she focuses on talk therapy rather than prescribing. She does not provide crisis intervention, psychiatric evaluation, or medication management; clients in acute suicidal or homicidal crisis, or those needing urgent psychiatric hospitalization, require emergency services (Baltimore's crisis line is 410-433-5000). She does not specialize in child or adolescent therapy, substance abuse treatment programs, or couples counseling as a primary focus. Adults seeking ongoing individual psychotherapy who prefer continuity with one clinician over rotating providers typically find private practice more compatible than large systems.

What the first appointment involves

Initial sessions last 50 minutes and begin with intake questions: why you're seeking therapy now, current stressors, relevant medical and psychiatric history, current medications, and family background. Tilson uses this session to understand your situation and to assess fit; you're also deciding whether her approach and availability match your needs. She will ask about insurance and payment at the start. Most clients schedule a second appointment before leaving the first session.

Hours, parking, and logistics

Tilson's office is located in Baltimore proper; parking availability depends on the specific neighborhood address. Hours are typically Monday through Friday, with some availability on Thursday or Friday evenings; specific days and times should be confirmed directly. Sessions are conducted in-person. Verify current hours and the exact address before your first appointment, as private practices sometimes adjust scheduling seasonally.

Tilson's private practice model works for adults needing weekly or biweekly therapy without the wait times or group-practice overhead common in larger systems, and for those who value continuity with one therapist over time.