Gabriel Kajeckas , MD, LCSW-C, LCSW

Gabriel Kajeckas is a seasoned clinician based in Virginia with 32 years of experience supporting people through stress, anxiety, addictions, relationship and family challenges, grief, sleep and eating concerns, and attention difficulties. He combines a deep understanding of addictive behaviors and family of origin issues with a strengths-focused orientation to help individuals and families navigate difficult life transitions and long-standing patterns.

He holds MD, LCSW-C, and LCSW credentials - MD denotes a medical degree, and LCSW and LCSW-C are professional licenses for clinical social work - and is licensed to practice in Maryland and Virginia. Over three decades, he has worked extensively with clients facing trauma from earlier life, compassion fatigue, and process and substance-related addictions, as well as issues tied to codependency, control, guilt and shame, and end-of-life concerns.

His practice emphasizes recognizing existing strengths and building practical skills to address current problems. He approaches each case with patience and respect for individual history, aiming to help people explore underlying patterns while developing strategies for healthier relationships and daily functioning. He acknowledges the courage involved in beginning therapy and supports clients at each step of the process.

Approaches for Online Care and Relationship Work

Attachment-Based Therapy focuses on how early relationships influence current patterns of relating. It helps clients understand emotional bonds, improve communication, and address recurring conflicts in relationships and family dynamics.

Cognitive Behavioral Therapy (CBT) teaches practical skills to identify and reframe unhelpful thoughts and behaviors. It is commonly used for anxiety, stress, sleep and eating concerns, and to build coping strategies for daily challenges.

Motivational Interviewing is a collaborative, goal-oriented approach that helps people explore and strengthen their motivation for change. It is particularly useful for addressing substance use and other addictive behaviors where readiness and ambivalence are common.

Determining the best approach is part of the therapeutic process. He works collaboratively with clients to match methods to their needs, goals, and preferences, and may blend techniques over time to find the right fit.

Online therapy offers flexible options such as video calls, phone sessions, live chat, and text-based messaging, making it easier to fit care into busy schedules, reduce travel barriers, and maintain continuity of support across locations. Licensed professionals can adapt these formats to deliver structured, goal-focused work that aligns with each client's life and responsibilities.