- 20 years experience
- First responder background
- Grief and hospice support
About John
He draws on his background as a former Baltimore-area firefighter to relate to first responder concerns and post-traumatic stress. That experience also informs his work with veterans, traumatic brain injury, and other trauma-related challenges. Sessions aim to make difficult topics easier to talk about and manage.
Caruso uses hands-on methods to help people build coping skills, handle anxiety, and work through losses. He combines strategies that look at unhelpful thinking with short-term goal setting to find what works now. The emphasis is on clear steps clients can try between sessions.
People turn to him for help with relationship strain, parenting stress, career changes, addictions, and compassion fatigue. He also supports those navigating divorce, fatherhood issues, and hospice and end-of-life counseling concerns. His approach is practical and steady rather than theoretical.
In sessions he listens, identifies immediate priorities, and tests small changes that can reduce distress. Progress is tracked with simple goals and regular check-ins. New clients start by completing a short questionnaire and then schedule sessions according to the therapist's availability.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Credentials
Maryland, Pennsylvania
Languages
English
Approaches that guide online and remote work
John uses Cognitive Behavioral Therapy to help people spot and change thought patterns that increase anxiety or depression. CBT focuses on practical skill-building - identifying unhelpful thoughts, trying different responses, and practicing new behaviors to reduce distress.He also uses Solution-Focused Therapy which centers on small, achievable goals. This approach helps people identify what they want to see different, map short steps toward that outcome, and build on small successes to regain momentum.
Choosing the right approach is a collaborative process. The therapist will listen to your concerns, discuss options, and adapt methods to your goals and preferences. He works with clients to test what helps and adjusts the plan as needed.
Session logistics should be confirmed before booking since formats are not specified in the biography. Online therapy can make it easier to fit sessions into a busy week, allow shorter check-ins when that helps, and remove travel time so people can use a break at work or care for other obligations. Discussing practical needs up front helps match session length and rhythm to daily life.
Frequently asked questions
What kind of concerns does he address?
He helps people with stress, anxiety, depression, grief, trauma, addiction, and compassion fatigue, among other challenges.
What is his therapeutic style like?
His work blends practical cognitive behavioral techniques with solution-focused planning to set clear, short-term goals and skills you can use between sessions.
How much experience does he have?
He has 20 years of clinical experience, including work informed by prior service as a Baltimore-area firefighter and work with trauma and first responder issues.
What are his credentials and where is he based?
He holds LCSW-C in Maryland and LCSW in Pennsylvania and practices out of Maryland.
Which languages are supported for sessions?
Sessions are offered in English.
Can people outside the United States work with him?
He accepts international clients; confirm any regional or licensing details during intake.
How are fees and billing handled?
Cost varies with location and scheduling; services use a subscription model that can be canceled at any time.
How do I begin working with him?
Use the Start Therapy button, complete a short matching questionnaire, and schedule sessions based on the therapist's availability.