Maybe you're back at work. Maybe you're on leave. Maybe the tests didn't give you an answer. But you're expected to lead again, while part of you is still wondering: what if it happens again?

 I provide IFS therapy for executives and leaders after an unexplained health event, online across Maryland and Virginia, with in-person intensives in Baltimore.


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Your body stopped you. Your responsibilities didn't. • Maryland & Virginia

Therapy for Executives & Leaders After a Health Scare in Maryland & Virginia

A seizure, a collapse, chest pain, a night in the ER. Then the tests come back inconclusive, and someone says it's probably stress. You leave with no clear cause, no plan, and a team that still needs you on Monday.

 Living with that uncertainty is its own weight. You might notice:

"Probably stress" isn't a diagnosis. It's a shrug.

When the tests don't explain it

• Scanning your body for warning signs during meetings
• Avoiding travel, exercise, or anything that feels like a trigger
• Not knowing what to tell your team, your board, or your family
• Pushing harder to prove you're fine, or pulling back and feeling guilty
• Feeling angry at your body, or afraid of it

What It's Costing You

Every part of you has a reaction to this

"Get back to work. They need you."
"What if it happens in front of everyone?"
"Slow down before it happens again."
"Don't let anyone see you're scared."

These parts aren't working against you. They're each trying to keep you safe. IFS helps them stop pulling you in opposite directions.

Therapy doesn't replace your medical care. With your permission, I'm glad to coordinate with your doctors.

What We Can Work On

What therapy after a health scare helps with

  • Health anxiety and fear of it happening again
  • Living with an inconclusive diagnosis
  • Returning to work, or deciding how and when to
  • What to tell your team, board, or family
  • Burnout and the pace that led here
  • Rethinking what you want leadership to cost you
Read My Story ⇢

I'm Kiara Hartwell Opara, a Certified IFS Therapist with more than 15 years of clinical experience. Many of the adults I work with are high-functioning, have already tried therapy, and are ready for something that reaches deeper than insight. I work at the pace your system can actually take in.

Meet Kiara, a Certified IFS Therapist
for Trauma in Maryland & Virginia

About Kiara

Sessions & Fees

Therapy For Leaders Online Across Maryland, Virginia, & Florida

IFS Intensives

Half day (3 hrs) $1,500 · Full day (6 hrs) $2,400 · Multi-day from $4,200. Each includes a 90-minute planning call and a follow-up call. Private pay. In person by request in Catonsville.

Ongoing Therapy

55 minute sessions, weekly or biweekly, for steady change over time. In network with BCBS. Online across Maryland, Virginia, & Florida.

Frequently Asked Questions

How can therapy help if my tests came back inconclusive?

How can therapy help if my tests came back inconclusive?

 Therapy doesn't diagnose or treat the medical event. It helps with what the uncertainty is doing to you: the fear, the vigilance, the pressure to perform, and the questions about how you want to live and lead now.

I never actually took medical leave. Does this still apply to me?

I never actually took medical leave. Does this still apply to me?

Yes. Whether you stepped away or never stopped, the mechanism is the same: your body did something frightening and the responsibility for your team absorbed it without anyone fully knowing what that cost you.

Will you coordinate with my doctors?

Will you coordinate with my doctors?

Only with your written permission. I don't give medical advice, but I'm glad to work alongside your medical team.

Do I need to have told my team first?

Do I need to have told my team first?

No. Deciding what to share, with whom, and when is often part of the work.

Is this confidential from my employer?

Is this confidential from my employer?

Yes. I don't share anything with employers or anyone else without your written permission, except within the legal limits of confidentiality, which I'll explain before we begin.

Do you take insurance?

Do you take insurance?

IFS intensives are private pay. Ongoing therapy is in network with BCBS for eligible services.

Where are you licensed, and are sessions online?

I'm licensed in Maryland and Virginia, with telehealth privileges in Florida. The pre and post-intensive sessions are virtual; the Intensive itself is available virtually or in person in Baltimore, MD or Virginia Beach, VA.