About Giselle
Giselle DeGrafenreid uses an evidence-based approach to help people manage stress, anxiety, anger, mood struggles, and low self-esteem. She draws on 23 years of clinical experience to offer steady support and practical guidance. Giselle is licensed in Maryland and holds an MD and an LCSW-C.
She speaks English and works with people who want clearer thinking and calmer days. Giselle helps people break large problems into small, doable steps. She focuses on skills people can use between sessions to reduce anxiety, manage mood swings, and improve self-worth.
How Giselle works
Conversations are collaborative - she listens to what matters most and tailors suggestions to each person’s life. Her background includes long clinical experience across stress-related concerns and mood disorders. That experience informs how she helps people cope with grief, feelings of abandonment, and the strain of caregiving.
She also works with those facing chronic pain, medical illness, or difficult life transitions. Giselle addresses common relationship and communication problems by helping clients name patterns and try different responses. She offers strategies for dealing with guilt, shame, impulsivity, and financial stress so people can make clearer choices.
Practical tools and steady encouragement are central to her work. People who choose her are matched through an intake process and schedule sessions that fit their routines. She supports progress at a pace that feels safe and doable, celebrating small gains while working toward larger change.
What Giselle works with
The areas below are the ones Giselle selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Anger management
- Self esteem
Also listed
- Abandonment
- Bipolar disorder
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Communication problems
- Control issues
- Depression
- Divorce and separation
- Forgiveness
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Post-traumatic stress
- Self-love
- Social anxiety and phobia
- Women's issues
- Workplace issues
Training and background
| Registers | MD, LCSW-C |
|---|---|
| Years in practice | 23 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Maryland |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How evidence-based approaches translate to online care
Giselle uses evidence-based therapeutic techniques that focus on building practical skills. One common approach is skills training that teaches emotion regulation and stress management tools people can use day to day to reduce anxiety and control impulsive reactions. Another approach emphasizes mood-management strategies useful for depression and bipolar symptoms, including activity planning and tracking moods to spot patterns and make changes.Choosing the right approach is a collaborative process. The therapist works with each person to identify goals, try methods, and adjust the plan as progress is made. That way the approach fits the client’s needs and preferences rather than being a one-size-fits-all solution.
Online sessions are offered by licensed professionals using video calls, phone sessions, live chat, or text-based messaging to suit different schedules and resources. Video calls allow face-to-face conversation and visual cues, phone sessions can be easier when bandwidth is limited, and chat or text-based messaging is useful for brief check-ins or ongoing support between appointments. These options make it easier to fit therapy into busy lives and maintain momentum toward goals.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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