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RW Portrait of Roxanna Winkes-Anthony

Roxanna Winkes-Anthony

Compassionate, experienced therapy for complex challenges

MD, LCSW-C Maryland

Experience
40 years in practice
Focus areas
Stress, Anxiety, Addictions, Relationship
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English

About Roxanna

Roxanna Winkes-Anthony brings four decades of clinical experience to work with people facing stress, anxiety, addictions, trauma and abuse, depression, grief, relationship and intimacy-related challenges, mood disorders including bipolar, and a wide range of life transitions.

Background and approach

She also focuses on issues such as caregiver stress, chronic pain and illness, codependency, communication and control problems, and end-of-life concerns. Her background includes long-term involvement in addiction services and work with clients coping with PTSD, adjustment to medical conditions, and separation and divorce.

Her approach is flexible and client-centered, drawing on Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), mindfulness practices, narrative techniques, and trauma-focused methods. Roxanna emphasizes respect for each person’s needs and tailors interventions to practical goals, combining evidence-informed strategies with attention to personal stories and values.

She holds MD and LCSW-C credentials and has practiced across settings from school outreach to residential treatment. Based in Maryland, she offers a welcoming, experienced presence for people navigating complex emotional, behavioral, and life-change challenges.

Practical therapeutic approaches for online care

Roxanna draws on Cognitive Behavioral Therapy (CBT) to help clients identify and change unhelpful thoughts and behaviors, offering concrete skills for worry, mood problems, and managing impulses. She also uses Acceptance and Commitment Therapy (ACT), which emphasizes values-based action and learning to relate differently to difficult emotions, useful for stress, chronic pain, and life transitions. Client-centered therapy is another part of her approach, providing empathetic, nonjudgmental support that helps people explore their own goals and discover internal resources.

Finding the right approach is part of the therapeutic process. Roxanna works collaboratively with each person to determine which methods fit their situation, adjusting techniques over time as goals and needs become clearer. This collaborative stance helps tailor interventions so they feel relevant and practical for the individual.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit sessions into busy schedules or to engage from different locations. These formats support consistent access to a licensed professional while allowing a range of interaction styles, from real-time conversation to shorter messaging check-ins, depending on what the client finds most helpful.

Frequently asked questions

What concerns does Roxanna commonly address?
She works with stress, anxiety, addictions, trauma and abuse, depression, grief, relationship and intimacy-related issues, bipolar and other mood disorders, sleeping and anger problems, and many related life challenges.
What is her therapeutic style and approach?
Her work is client-centered and respectful, blending Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT), mindfulness, narrative approaches, and trauma-focused methods to match each person’s needs.
How much clinical experience does she have?
She has 40 years of clinical experience across settings including school outreach and residential treatment, and a long history in addiction services and trauma work.
What are her credentials and where is she located?
She holds MD and LCSW-C credentials, listed as MD LCSW-C 05536, and practices from Maryland.
Can she work with people who live outside the United States?
Yes, she accepts international clients and provides services to people in other countries.
Which session formats are offered?
Sessions are available by video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How does billing and cost work?
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 therapy?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule a session based on the therapist’s availability.

Areas of expertise

Also works with

Family conflictsGriefIntimacy-related issuesSleeping disordersAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCompassion fatigue

Additional focus areas

AbandonmentAging and geriatric issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommunication problemsControl issuesDrug and alcohol addictionForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityVeteran and Armed Forces IssuesMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPost-traumatic stressSeasonal Affective Disorder (SAD)Social anxiety and phobiaTraumatic brain injury

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyNarrative TherapyTrauma-Focused Therapy

Experience

40+ years

Licensed

Maryland

Languages

English