Tammy O'Rourke, LCSW-C

Tammy O'Rourke is a Licensed Certified Social Worker in Maryland (LCSW-C) with 20 years of clinical experience. She helps people who are dealing with stress, anxiety, family and parenting concerns, low self-esteem, and coping with life changes.

Tammy keeps conversations direct and practical. She listens for the immediate problem and then focuses on doable steps to reduce stress and improve day-to-day functioning. Sessions often include talking through communication patterns, setting boundaries, and practicing ways to handle tense interactions at home.

People come to her with a range of concerns such as abandonment, blended family tensions, codependency, commitment worries, and communication problems. She also supports those facing control issues, grief or forgiveness work, guilt and shame, loneliness, and questions about life purpose or midlife transition.

Her experience includes work related to veteran and armed forces issues, mood disorders, and seasonal affective disorder. Tammy aims to help clients identify small changes that reduce conflict and increase coping skills. She explains approaches plainly and focuses on what can be tried between sessions.

Sessions are arranged around the client’s practical needs. Tammy describes treatment as a collaborative process where the client’s goals guide the pace and focus. The first meetings typically clarify immediate priorities and set simple, measurable steps.

Therapeutic approaches and working online