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PS Portrait of Patrick Scally

Patrick Scally

Compassionate, experienced clinician guiding practical change

MD, LCSW-C Maryland

Experience
50 years in practice
Focus areas
Stress, Anxiety, Grief, Self esteem
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English

About Patrick

Patrick Scally brings a pragmatic, client-focused approach to therapy that emphasizes evidence-informed strategies and empathic engagement. With an MD and Maryland license as an LCSW-C, he integrates cognitive behavioral techniques alongside client-centered and mindfulness practices to address mood concerns, anxiety, grief, and difficulties with motivation and self-esteem.

Background and approach

His long career has included work with trauma, addiction, relationship and intimacy issues, sleep disturbances, parenting challenges, anger, career transitions, and compassion fatigue. Across five decades of practice, Patrick adapts conversations and treatment plans to each person’s needs while valuing the client’s input into the process.

He frames therapy as a collaborative effort that seeks practical ways to improve coping and daily functioning, whether the focus is on managing stress, addressing addictive patterns, or working through loss.

Patrick’s background also encompasses a wide range of related concerns such as communication problems, codependency, divorce and separation, and co-morbid conditions, and he draws on motivational interviewing and psychodynamic ideas when helpful. He invites clients who are ready to take steps toward change to engage in a respectful, supportive therapeutic relationship.

Integrating CBT, Client-Centered Work, and Mindfulness Online

Patrick often uses cognitive behavioral techniques to identify and shift unhelpful thoughts and behaviors, which can help when addressing anxiety, depression, sleep problems, or motivation struggles. He also emphasizes client-centered principles, creating space for the client’s perspective and prioritizing empathy and collaboration in setting goals and shaping sessions. Mindfulness practices are introduced as needed to build present-moment awareness and stress management skills useful for grief, trauma reactions, and ongoing worry.

Determining the right mix of approaches happens together; the therapist will invite conversation about your goals, preferences, and what feels most useful in early sessions. That collaborative process guides whether more structured CBT exercises, reflective client-centered dialogue, or mindfulness techniques are emphasized as therapy proceeds.

Online therapy offers flexible access to these methods through video calls, phone sessions, live chat, or text-based messaging. These formats make it easier to fit sessions into busy schedules, continue work during life transitions, and sustain momentum between appointments, while allowing licensed professionals to adapt exercises and support to the medium that works best for each client.

Frequently asked questions

What kinds of concerns does he address?
He works with a broad range of issues including stress, anxiety, depression, grief, addictions, relationship and intimacy-related problems, sleep difficulties, parenting and career concerns, and compassion fatigue.
What is his therapeutic style like?
His approach blends client-centered listening with practical strategies such as cognitive behavioral techniques and mindfulness, tailoring sessions to each person’s needs and preferences.
How long has he practiced clinically?
He has 50 years of professional experience working in clinical social work and related mental health settings.
What credentials and location are listed?
He holds an MD and is licensed as LCSW-C in Maryland with credential number MD LCSW-C 02526.
Can I work with him if I live outside the United States?
He does not accept international clients at this time and is available to work with clients located in the region he serves.
What session formats does he offer?
Sessions are available via video calls, phone sessions, live chat, or text-based messaging to suit different scheduling needs.
How are fees and subscriptions handled?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be canceled at any time.
What are the first steps to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Also works with

AddictionsRelationship issuesTrauma and abuseIntimacy-related issuesSleeping disordersParenting issuesAnger managementCareer difficultiesCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesAvoidant personalityBlended family issuesCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationDomestic violenceFamily problemsFatherhood issuesFirst responder issuesForgivenessGuilt and shameHearing impairedInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-harmSexual assault and abuseSocial anxiety and phobiaWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused Therapy

Experience

50+ years

Licensed

Maryland

Languages

English