High-functioning burnout is a state of chronic exhaustion masked by continued high performance. You might still be hitting your deadlines, showing up for everyone, and holding it all together — while feeling completely hollow inside. Signs include persistent mental fatigue even after rest, emotional numbness, low-grade irritability, loss of interest in things you used to enjoy, and a nagging sense that something is wrong even though "nothing is wrong." If you feel like you're running on fumes but can't stop, this might be worth exploring in therapy.

Yes. Refined Wellness offers virtual therapy sessions to clients throughout the state of Maryland via a secure, HIPAA-compliant telehealth platform. Whether you're in Baltimore, Annapolis, Ocean City, or anywhere in between, you can access therapy from your home or office. In-person sessions are available in Stevensville, MD on Kent Island at Island Holistics.

Refined Wellness uses an integrative approach that goes beyond traditional talk therapy. Sessions draw from evidence-based practices like CBT and trauma-informed care, but also incorporate nervous system regulation, lifestyle and nutritional psychiatry, and mind-body interventions. The goal isn't just coping — it's sustainable healing that fits into your real life. Think of it as therapy that treats the whole person, not just the symptoms.

Refined Wellness is primarily a self-pay practice. However, insurance processing is available through the Alma platform for select plans. If you'd like to use insurance, please reach out before booking so we can confirm your coverage. Many clients choose to pay out of pocket for the flexibility, privacy, and quality of care that comes with private practice therapy.

The Coffee Break Consult is a free 15-minute phone or video call designed to help you decide if Refined Wellness is the right fit — no pressure, no commitment. You can share what's been going on, ask questions about the process, and get a feel for how Randi works. It's the low-key first step for people who are therapy-curious but not sure where to start.

Refined Wellness specializes in working with high-achieving women — often in their 20s through late 40s — who are managing careers, relationships, and families while quietly unraveling on the inside. The ideal client has often been told (or tells herself) that she "has no reason to feel this way." Specialties include chronic stress, burnout, high-functioning anxiety, nervous system dysregulation, and unhealthy coping patterns including substance use.

Therapy length is highly individual. Some clients come in for focused, goal-oriented work over 3–6 months. Others prefer longer-term support as they navigate major life transitions or deep-rooted patterns. At Refined Wellness, you're never locked into a predetermined timeline — progress is reviewed regularly and the plan adapts to where you are. Most clients begin with weekly sessions before transitioning to bi-weekly as they build momentum.

Refined Wellness is located in Stevensville, Maryland on Kent Island (Eastern Shore), inside Island Holistics at the Herbal Brew Bar. The space is calm, private, and easy to access from the Bay Bridge corridor. Virtual sessions are also available statewide for Maryland residents who prefer to meet online.