Maine has the oldest population of any state, which means a lot of Mainers are doing what you’re doing: checking on a parent, driving them to appointments, worrying about the stairs and the winter, and wondering how long this can go on.
I’m Tammy Gold, a licensed clinical social worker in Maine (LCSW #LC26593). I’ve worked directly with families across the country for more than 20 years, including on the hard decisions around a parent’s care.
Online sessions for adults located in California, New Jersey, Oregon, Maine or Iowa. Alma checks your specific plan before you book.
Check Insurance and Availability on Alma →
A 30-second welcome from Tammy. Watch on its own page
Parents in Maine often want to stay in the house they’ve lived in for decades, sometimes miles from the nearest neighbor or hospital. Winter makes every worry bigger: the driveway, the woodstove, a fall with no one around.
Many adult children are the one sibling who stayed, while brothers and sisters live out of state. That arrangement can work, but it often leaves one person carrying most of the load, and the resentment that comes with it.
This is individual psychotherapy with a licensed clinician. It isn’t coaching. Couples and family sessions are a different format that insurance may treat differently, so ask before you book if you’re interested in a joint session.
Sessions combine a standard clinical assessment with the Care Map Method™, the framework I use to look at your sleep and health, your feelings, your relationships and your daily demands, then build one practical change at a time. More about therapy in Maine.
Before the first big storm, write down who checks on your parent if the power goes out, who clears the driveway, and who takes them to appointments if you can’t. Share it with your siblings and ask each one to own one line. A shared plan beats one person on call for everything.
Sessions are online by video for adults who are physically located in Maine, or another state where I’m licensed, during each session. I’m licensed in Maine (LCSW #LC26593), and also in California, New Jersey, Oregon and Iowa.
Through Alma, I’m in network with Aetna, Cigna, Carelon, Blue Cross Blue Shield of Massachusetts, and Optum plans including UnitedHealthcare, Oscar and Oxford. Coverage depends on your specific plan, not only the insurance company’s name. Alma checks it before your first session, including any copay or deductible, and handles the billing. How using insurance works.

Columbia University–trained therapist · University of Pennsylvania graduate
I’m a licensed clinical social worker (California LCSW #136364; New Jersey LCSW #44SC05528100; Oregon LCSW #L16530; Maine LCSW #LC26593), a licensed independent social worker in Iowa (LISW #141693) and the founder of the Care Map Method™. I’ve worked directly with families for more than 20 years. My book, Secrets of the Nanny Whisperer (Penguin), is about finding and working with a nanny; my therapy work draws on my broader clinical training.
I’ve also shared parenting and family guidance as an expert for outlets including the Today Show, Good Morning America and The New York Times. Press and media.
Yes. We work on what you can control: how you raise it, what you say, what limits you set, and what you do if things become unsafe.
Maine’s Area Agencies on Aging help with services and planning; call the statewide line, 1-877-353-3771, and choose your county. The national Eldercare Locator is 1-800-677-1116.
In therapy we work on the decision and what makes it hard. Hands-on help evaluating caregivers or agencies is Care Map coaching, a separate private-pay service.
Only while you’re physically in a state where I’m licensed: California, New Jersey, Oregon, Maine or Iowa.
I see clients through Alma, and through Alma I’m in network with Aetna, Cigna, Carelon, Blue Cross Blue Shield of Massachusetts, and Optum plans including UnitedHealthcare, Oscar and Oxford. Coverage still depends on your specific plan. Alma checks it before your first appointment, including any copay or deductible. Please share plan and health details through Alma’s secure intake, not by text or email.
Yes, or in another state where I’m licensed. Sessions are online by video, and you need to be physically in Maine, California, New Jersey, Oregon or Iowa during each one. If you’ll be traveling, tell me ahead of time so we can plan around it.
Check whether your plan covers sessions and see my open times on Alma.
Check Insurance and Availability on Alma →General questions: tammy@caremapmethod.com · Text a general booking question: (818) 308-1358
Please don’t send health or insurance details by text or email. Alma’s secure intake is the place for those.
If you’re in crisis or thinking about harming yourself, call or text 988, or call 911. Online therapy can’t respond to emergencies.