Question 1

What is high-functioning burnout, and how do I know if I have it?

Accepted Answer

High-functioning burnout is a state of chronic exhaustion masked by continued high performance. 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 obviously wrong. If you feel like you're running on fumes but can't stop, burnout therapy at Refined Wellness may help.

Question 2

Do you offer telehealth therapy in Maryland?

Accepted Answer

Yes. Refined Wellness offers virtual therapy sessions to clients throughout Maryland via a secure, HIPAA-compliant telehealth platform. In-person sessions are available in Stevensville, MD on Kent Island at Island Holistics.

Question 3

How is Refined Wellness different from typical talk therapy?

Accepted Answer

Refined Wellness uses an integrative approach combining evidence-based practices like CBT and trauma-informed care with nervous system regulation, lifestyle and nutritional psychiatry, and mind-body interventions. The goal is sustainable healing for the whole person, not just symptom management.

Question 4

Do you accept insurance at Refined Wellness?

Accepted Answer

Refined Wellness is primarily a self-pay practice. Insurance processing is available through the Alma platform for select plans. Contact us before booking to confirm your coverage.

Question 5

What does a Coffee Break Consultation involve?

Accepted Answer

The Coffee Break Consult is a free 15-minute phone or video call to help you decide if Refined Wellness is the right fit. You can share what's going on, ask questions about the process, and get a feel for how Randi works — no pressure, no commitment.

Question 6

What types of clients does Refined Wellness specialize in?

Accepted Answer

Refined Wellness specializes in high-achieving women — typically in their 20s through late 40s — managing careers, relationships, and families while quietly unraveling on the inside. Specialties include chronic stress, burnout, high-functioning anxiety, nervous system dysregulation, and unhealthy coping patterns.

Question 7

How long does therapy typically take at Refined Wellness?

Accepted Answer

Therapy length is individual. Some clients work for 3–6 months; others prefer longer-term support. At Refined Wellness, there is no predetermined timeline — progress is reviewed regularly and the plan adapts. Most clients begin with weekly sessions before transitioning to bi-weekly.

Question 8

Where is Refined Wellness located?

Accepted Answer

Refined Wellness is located in Stevensville, Maryland on Kent Island (Eastern Shore), inside Island Holistics at the Herbal Brew Bar. Virtual sessions are available statewide for Maryland residents.