About Tammy
Tammy O'Rourke helps people who are feeling overwhelmed by stress, anxiety, family conflict, parenting challenges, low self-esteem, or major life changes. She is Tammy O'Rourke, MD, LCSW-C, and she brings two decades of experience to the work. Her approach aims to make change feel manageable and realistic for everyday life.
Tammy listens first to understand what matters most to each person. She uses practical conversation to untangle communication problems, commitment concerns, and relationship patterns like codependency or issues in blended families.
How Tammy works
She also supports people coping with loss, abandonment, guilt, shame, and feelings of isolation. Her background includes long experience with mood concerns and seasonally influenced mood shifts such as Seasonal Affective Disorder. She also has experience addressing stress after natural or human-caused disasters and challenges related to veteran and armed forces issues.
Tammy combines clinical judgment with everyday language so people can use what they learn right away. Tammy adapts plans to the person in front of her rather than following a single method. She emphasizes respect, sensitivity, and compassion while helping people build better communication and stronger coping skills.
Sessions focus on clear goals and small steps toward them. Tammy practices in Maryland and offers a mix of conversation styles to fit different needs. She encourages people to take the first step when they are ready and supports them through the process of change.
What Tammy works with
The areas below are the ones Tammy selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Family conflicts
- Parenting issues
Also listed
- Abandonment
- Blended family issues
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Forgiveness
- Guilt and shame
- Isolation / loneliness
- Life purpose
- Midlife crisis
- Mood disorders
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Veteran and Armed Forces Issues
- Women's issues
- Young adult issues
Training and background
| Registers | MD, LCSW-C |
|---|---|
| Years in practice | 20 |
| 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
Approach-focused care delivered online
Tammy uses evidence-based therapeutic techniques that focus on problem solving and building coping skills. One common approach she uses concentrates on practical skills for managing anxiety and mood swings, teaching tools people can use when stress rises or seasonal mood changes occur. Another approach looks at communication and relationship patterns; it helps people identify repeated dynamics, set boundaries, and improve how they talk about needs and expectations.Choosing the right approach is a collaborative process. Tammy works together with each person to identify goals, try a method, and adjust as needed so the work fits the client's situation and preferences. She frames therapy as a partnership where methods are selected based on what actually helps the person reach their goals.
Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video calls are useful for in-depth conversation and visual cues, while phone sessions require less bandwidth and can fit into a work break. Live chat and text messaging make it easier to check in between sessions or use shorter, focused exchanges. These formats aim to make care more accessible and flexible for different schedules and needs.
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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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