Psychotherapy
with Fabio Lomelino, LCPC
Therapy with me is like the greenhouse I practice in. Protected by transparent boundaries, the warmth and clarity of our shared understanding will regenerate your vitality. Our conversations will catalyze an invisible process deep in the soil of your unconscious mind, breaking down what is no longer needed, transforming old pain into new purpose. One day, unscheduled, you will awaken to discover the emergence of vigorous new growth that we then support with guiding structure and prune with discernment. Your new life will inevitably outgrow our protective environment, ready to dig deeper relational roots and face the winds of impermanence- confident that bending without breaking will only further strengthen your core resolve to overcome.
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Currently accepting new clients for in-person and virtual sessions. Appointments between 8:30 - 5:00 with limited evening hours.
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$105 for 60 min sessions. In-network with Cigna, providing out-of-network billing documents for all other plans. Clients who are under financial pressure can request a discounted fee through our sliding scale application.
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My ‘office’ is a remodeled greenhouse attached to my home in the Garrison/Pikesville region. There is a separate entrance with a dedicated bathroom to maintain privacy. Easy parking, just off 695; but also peacefully tucked away overlooking a winding stream.
How I show up in therapy
My expertise is listening for the patterns of your expertise.
I believe real change happens when we step into the work together. I find the standard model too passive, too cautious.
I strive to make each session an active, engaged process where we work together to uncover what is stuck, test insights in the real world, and build the courage to always move forward.
I develop deep reserves of trust with my clients so that I can spend that trust- taking risks, offering new perspectives, challenging blind spots, cutting through delusions.
I am professionally trained to not get my feelings hurt, so I ask all my clients to give me critical feedback. That way I can lead our conversations knowing you will tell me when I make mistakes.
In fact, it is often the gap between what I see and how you correct me that contains some of the most important insights- clues to the other disconnects that exist within your mind or relationships.
I only became a therapist after a deep and broad study of the human condition. Having immersed myself in everything from ancient philosophy to the latest neuroscience, my hands-on study of people always humbles the part of me that tries to ‘figure out’ a person: the infinite diversity of living beings always outpaces my ability to understand.
You will find the solutions. My work is to refine the infinite set of questions we could ask about the problem, into a finite set of questions. The more precise my questioning set becomes, in response to your feedback, the clearer your solutioning becomes.
Diverse Influences,
Tailored Approach
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Short answer: integrative, mindfulness-based, narrative therapy.
Long Answer:
Mine is not a manualized, one-size-fits-all approach. I live by the motto: “read all the books, forget all the words.” I have studied CBT, DBT, ACT, EMDR, IFS, and more of the letter soup of therapies. But I’m interested in the broth each of them is floating on. The underlying nature of each conscious mind.For over 10,000 hours I have marinated my mind in the minds of others. I cook by taste, not by recipe. I stretch out metaphors, until they are watered down.
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All psychology is neurology, but our neurons are wired according to patterns of relationship, and those relationships are communicated through psychological frameworks. These three systems must never be separated, even if we have to focus more on one or another at given times. We will work with your nervous system, thought patterns, and relationships as inseparable systems that together create the experience of consciousness. When these systems are well integrated, vitality naturally flows.
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Self-awareness is a skill, and we have to work hard to deepen and expand it. This isn’t about clearing your mind but deepening your capacity to sit with complexity.
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The narratives we tell about ourselves shape our reality. What seems to drive much of mental suffering is not the facts of life, but how we organize those facts into complex neural networks we experience as stories. Those stories then predict the future, shaping how we engage others and the world at large. We’ll explore and expand the narrow stories that are holding you back.
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Insights are only useful if they can be lived. We will explore ways to test new patterns in your daily life, rather than waiting for therapy to ‘fix’ things. I take a scientific approach to change, encouraging clients to run experiments and continually probe the possibilities of change.
Areas of Experience
I don't specialize in disorders— I specialize in people.
The people I have served have taught me a lot about the following set of challenges.
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Grief & Loss
Whether from the death of a loved one, the loss of a life you imagined, or the slow erosion of meaning after profound change, grief is more than just something to endure—it is a process that, when met with care, can reveal new dimensions of self and possibility.
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Trauma Integration
The mind is made to remember, especially the important stuff that threatens our sense of safety. Trauma is the brain operating as it should, not malfunctioning. If forgetting is not an option, how can we gently re-stich the old rigid scars so that over time they adapt to the living breathing body that still moves.
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Depression & Anxiety
Not as mere "disorders" to be managed but as signals that something deeper is seeking attention. These experiences, while painful, often point to the need for a new way of relating to yourself, your emotions, and your world.
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Life Stage Transitions
When the old ways of understanding yourself and the world no longer fit, it can feel like standing at the edge of a cliff— unable to turn back, unsure of how to step into the unknown. I work with people navigating these moments—whether brought on by aging, career shifts, relationships, or inner change—to help them find what emerges when certainty falls away.
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Spiritual & Religious Integration
Suffering has a way of shaking our foundations, often raising existential, spiritual, or religious questions that don’t have easy answers. I work with both those from deeply religious communities—including Orthodox Jewish, Mormon, and other high-commitment traditions—as well as those with no religious background who find themselves in an unexpected existential crisis.
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Anger
Anger is an alarm for hurt, sometimes programmed by trauma to have the right settings for the wrong places, the wrong setting for the right places.
Anger is always the ‘protector’ of more primary and more vulnerable emotions. What if transforming the underlying emotions allowed us to not need ‘anger management’?
About Fabio Lomelino, LCPC
I do not see this as a profession, but as a vocation. For as long as I can recall, I have felt called to investigate how the drive to overcome suffering powers the evolutionary process of life. I began my journey with an undergraduate education in philosophy from St. John’s College where I learned how language shapes thinking, and thinking shapes the experience of consciousness.
However, books and words ultimately seemed two-dimensional in comparison to the messy complexity of human beings. Working in documentary filmmaking and news production allowed me a front row seat to this complexity, and began my training in the art of interviewing a person.
Reporting on the human condition felt too passive- I felt an urge to help. So I went to work producing media for a non-profit that helped refugees begin to rebuild their lives after losing everything. Soon, I realized I needed to turn off the camera and help the person in front of me tell their own story in a new way that could unlock their grieving process. I continued this work while pursuing graduate training in mental health counseling from Loyola University, with a special focus on the integration of existential philosophy and spiritual/religious traditions.
I put my new skills to practice serving as a grief counselor in hospice care, until I felt like I had figured out how to walk people out of the absolute depths of despair. Now I operate independently, fulfilled that I have found my place, my purpose, and my practice.
