Logo for Heart Centered Therapy, LLC, offering telehealth therapy for high-functioning adults in Maryland and DMV. Logo shows a heart inside a tree with practice name underneath.

Heart Centered Therapy LLC

Betrayal and Relational Trauma Therapy

Serving clients in Maryland and surrounding areas.

Therapy for high-functioning adults ready to make lasting change.

Action Oriented. Compassion Focused. Heart Centered.

Are you living in the aftermath of betrayal?

You’ve built a successful life.

But now, you discovered something that changed everything: an affair, a hidden life, a pattern of deception you never saw coming. Or maybe the betrayal came from a parent, a workplace, or an institution you trusted completely. Whatever the source, the ground has shifted, and you are not sure who to trust anymore, including yourself.

You might be outwardly calm and capable, yet still carry perfectionism, people-pleasing, or shame that never seems to fade. You feel tense, anxious, or never quite “enough.”

If you grew up in an alcoholic, chaotic, or emotionally unpredictable family, those old dynamics can quietly shape how you move through adult relationships, and how hard it can be to see certain patterns until something finally breaks open.

Tall moss covered grove of trees in a forest, symbolizing growth and healing in the aftermath of pain for therapy clients
Rooted, strong, thriving tree with sunlight shining through its leafy branches, symbolizing transformation in therapy with Kara Holthaus.

Therapy for high-functioning adults ready to go beyond survival mode

I work with adults who appear capable and successful but carry something quietly painful underneath. Many of my clients are navigating the aftermath of betrayal, a partner’s infidelity, a surfaced family secret, a workplace that turned out to be toxic or dishonest, and are trying to make sense of what happened and who they are now.

My clients often navigate relationship conflict, the mother wound, childhood trauma, or cycles of codependency and perfectionism. They’re ready to stop running on autopilot, understand their patterns, and create healthier relationships with others and themselves. If that sounds like you, even if you’re not sure yet what to call it, you’re in the right place.

You want to go deeper, not just learn coping skills or rehash current events. You are emotionally reflective and motivated to engage in insight-oriented work.

I am eager to work with you to get to the heart of the matter and put energy toward change and growth.

Diverse trees growing tall in a supportive network.

How I Work

I’m EMDR-trained through EMDRIA, and my approach is experiential: we don’t just talk about what happened, we work with it directly, through your body, your nervous system, and the parts of you still carrying it.

  • We build safety first, in our relationship and within yourself, before diving into deeper work.

  • Teaching, learning, and unlearning are a real part of therapy. I believe healing has building blocks, the same way learning to read does, and I’ll never assume you should already know something you were never taught.

  • Parts work and somatic work help you understand the different parts of you (including the ones still trying to protect you) and work with your body directly, not just your thoughts.

  • You won’t do this alone. I help you build a team, including trauma reprocessing therapies like EMDR when you’re ready, and trusted referrals for whatever else supports your healing.

High level view of tree tops symbolizing progress.

Areas I Focus On

I want to be upfront: this approach isn’t plug-and-play, and it isn’t the right fit for everyone. It asks you to sit with discomfort before it resolves and to keep showing up even when progress feels slow. If you’re ready for that kind of work, I’d love to talk.

What Connects All of This

If you look closely, every area I work in (betrayal trauma, emotional abuse, relational trauma, childhood trauma and the mother wound, adult child and family dysfunction, even spiritual burnout) is really a different shape of the same wound: a betrayal of trust, safety, or attachment, by a partner, a parent, a family system, or a belief you trusted completely.

Attachment theory is the thread underneath all of it: what happens when the people or structures meant to keep you safe become confusing, unreliable, or harmful instead.

That’s not just an interesting theory. It’s why the same approach works across all of these experiences.

Serving clients throughout Maryland via Telehealth, from the safety and privacy of your own space.

Including Frederick and Montgomery County communities like Bethesda, Potomac, and Chevy Chase, and Howard County areas including Columbia and Ellicott City.

Coaching and consulting available for Loudoun, Fairfax, and Arlington Counties and Falls Church, as well as Washington, D.C.

I'm a private-pay practice. Sessions are 45-50 minutes, $175. More on how this works →

  • When we become inquisitive about these things, look into them, see who we are and what we do, with the curiosity of a young child, what might seem like a problem becomes a source of wisdom.

    —Pema Chödrön

  • Awakeness is found in our pleasure and our pain, our confusion and our wisdom, available in each moment of our weird, unfathomable, ordinary everyday lives.

    —Pema Chödrön

  • Begin the journey without hope of getting ground under your feet. Begin with hopelessness.

    —Pema Chödrön