Grief & Loss Therapy in Maryland

Grief therapy in Maryland

Grief and loss therapy across Maryland.

Grief is not a problem to solve. It’s a process to walk through with someone steady beside you. Sanare Counseling Group connects Maryland residents with therapists who specialize in loss — the death of a loved one, miscarriage and pregnancy loss, divorce, identity loss, anticipatory grief, complicated grief, and the kind of loss that doesn’t have a name but still aches.

What grief looks like

Grief doesn’t follow a schedule.

The “five stages” model isn’t how grief actually works. Real grief is messier, longer, and far more varied.

Waves that come without warning

You’re fine for two weeks and then a song or smell levels you. The unpredictability is its own kind of exhausting.

Functioning but not feeling

You go to work. You answer texts. You make dinner. And underneath, you’re not really here.

Grief that society won’t witness

Miscarriage. Estranged parent. A friendship that ended. Society doesn’t always know these are losses too.

Anniversaries that catch you

The first holiday. Their birthday. The day everything changed. Knowing it’s coming doesn’t make it easier.

How we work with grief

Not to fix it, to witness it.

Continuing bonds approach

The goal isn’t “moving on” — it’s finding a way to carry the relationship forward in a different form.

Complicated grief work

When grief hasn’t softened after a year or two, specific evidence-based protocols can help unblock what’s stuck.

Pregnancy and infant loss

Specialized support for miscarriage, stillbirth, infant loss, and the particular grief of losing what was just becoming.

Identity and role loss

Divorce. Retirement. Empty nest. Career change. These are real losses and deserve real support.

Insurance for grief therapy

In-network with major Maryland plans.

CareFirst BCBS
United Healthcare
Aetna
Cigna
Maryland Medicaid
Our grief specialists

Therapists who hold loss well.

Maria Perrootts, LCPC

Grief, life transitions, pregnancy and infant loss. Read bio →

Coleen Alexander, LGPC

Grief, depression, relationship endings. Read bio →

Heather Hout-Pesta, LCPC

22+ years. Grief in life transitions and family systems. Read bio →

Adam Miller, LCPC

Grief in men, complex loss, identity change. Read bio →

Common questions

A few honest answers.

How soon after a loss should I start therapy?

There’s no required waiting period. Some clients come in the first few weeks for support; others wait months or years. Both are right.

What if my grief feels disproportionate?

Grief is rarely proportional to outside expectations. The depth of grief usually matches the depth of the relationship, not the manner of loss.

Do you work with miscarriage or infant loss?

Yes. Several of our therapists specialize in pregnancy and infant loss, which carries its own particular grief.

What if I’m grieving someone who hurt me?

Complicated relationships create complicated grief. We hold the full picture — the loss and the difficulty — without judgment.

How long does grief therapy take?

It varies enormously. Some clients come for a few months around an anniversary or transition. Others stay for longer-term work. Either is appropriate.

Ready when you are

You don’t have to grieve alone.