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Your Trusted Mental Health Therapists in Frederick, MD
Middleton Psychology Services is a dedicated mental health practice offering tailored psychological support to help individuals navigate life's challenges. Our team of doctoral-level psychologists brings decades of combined experience in evidence-based therapeutic approaches, specializing in anxiety, depression, trauma, and life transitions. We prioritize personalized treatment plans that address each client's unique needs, fostering resilience and long-term well-being. With expertise in cognitive-behavioral therapy, psychodynamic interventions, and trauma-informed care, we create a safe, nonjudgmental space for clients to explore complex emotions and develop practical coping strategies. Our clinicians maintain active memberships in leading professional organizations, ensuring adherence to the highest standards of practice.

We serve adults facing a wide spectrum of mental health concerns, from everyday stress to serious psychiatric conditions, while emphasizing the importance of cultural sensitivity and individual dignity. Through collaborative therapeutic relationships, we empower clients to achieve meaningful personal growth and improved quality of life. Our practice integrates clinical excellence with compassionate care, recognizing that mental health is foundational to overall wellness. By focusing on both symptom relief and underlying psychological patterns, we help clients build sustainable coping mechanisms. Our commitment to continuous professional development ensures that we remain at the forefront of effective mental health treatment modalities.
Services
Anxiety Treatment Depression Care Stress Management Trauma Therapy Life Transitions Support
Highlights and features
  • We offer evidence-based therapy from doctoral-level psychologists with decades of clinical experience
  • Our personalized treatment plans address each client's unique mental health needs
  • Specialized expertise in trauma recovery and complex mental health conditions
  • Compassionate care integrating cognitive-behavioral and psychodynamic approaches
  • Proven track record helping adults navigate anxiety, depression, and life transitions
Services
Anxiety Treatment
Our comprehensive anxiety treatment programs combine cognitive-behavioral techniques with mindfulness practices to help clients manage symptoms effectively. We address generalized anxiety, panic disorders, and phobias through personalized therapy sessions that build coping skills and reduce avoidance behaviors. Our evidence-based approach helps clients understand anxiety triggers and develop practical strategies for maintaining emotional regulation in daily life.
Depression Care
Specialized depression care utilizing empirically supported treatments like cognitive therapy and behavioral activation. We help clients break negative thought patterns, reestablish rewarding activities, and develop relapse prevention strategies. Our therapists create safe spaces for exploring underlying emotional wounds while focusing on practical improvements in daily functioning and quality of life.
Trauma Therapy
Trauma-informed therapy addressing acute and complex PTSD symptoms through evidence-based modalities. We help clients process traumatic memories while developing grounding techniques for emotional stability. Our approach emphasizes safety, empowerment, and rebuilding trust through structured treatment plans that integrate somatic awareness and cognitive restructuring techniques.
Life Transitions Support
Guidance through major life changes including career shifts, relationship transitions, and identity exploration. We provide practical coping strategies for navigating uncertainty while maintaining emotional stability. Our therapists help clients identify personal values and develop action plans to move forward with confidence during periods of significant life transformation.
Substance Use Counseling
Specialized counseling for substance use concerns combining motivational interviewing with relapse prevention strategies. We address co-occurring mental health conditions while helping clients build sustainable recovery frameworks. Our approach emphasizes harm reduction, personal accountability, and developing alternative coping mechanisms to support long-term behavioral change.
People
Carl Middleton
Licensed Psychologist
Dr. Carl Middleton is a licensed psychologist with over 30 years of clinical experience, specializing in cognitive-behavioral therapy and addiction treatment. He holds a doctorate from Texas Tech University and maintains certifications in addiction counseling.
Roseanne Middleton
Licensed Psychologist
Dr. Roseanne Middleton has maintained a private practice for over 30 years, focusing on trauma recovery and psychodynamic therapy. She earned her doctorate from Texas Tech University and specializes in treating anxiety disorders and relationship challenges.
Robert Nagle
Licensed Psychologist
Dr. Robert Nagle provides interpersonal therapy for adults facing complex mental health challenges. He earned his Psy.D. from the University of Denver and has extensive experience in treating serious mental illness and suicide prevention.
Questions
What mental health specialties do you treat?
We specialize in treating anxiety disorders, depression, trauma-related conditions, substance use concerns, and life transition challenges for adults aged 18+.
Are your therapists licensed professionals?
Yes, all our clinicians are doctoral-level psychologists licensed in Maryland with decades of combined clinical experience.
How long are therapy sessions?
Standard sessions last 50 minutes, with extended sessions available for intensive treatment needs as determined during initial assessment.
Do you offer telehealth appointments?
We provide both in-person and virtual therapy options to accommodate client preferences and accessibility needs.
How do I schedule an initial consultation?
Contact us through our website or call (301) 360-5859 to discuss your needs and schedule your first appointment.