Barbara Segreto, LCSW-R

Barbara Segreto is a New York based licensed clinical social worker with 38 years of experience. She offers calm, straightforward care for people facing major life shifts, relationship strain, mood changes, addiction, and parenting stress. Her approach is practical and respectful, focusing on what matters most to each person.

She holds a Master of Social Work from New York University and the LCSW-R credential in New York. Her background includes long experience in inpatient, emergency, and outpatient settings. She has worked with hospitals and community agencies across New York and has run a private practice for over 20 years.

Barbara draws on a wide clinical background to help with depression, anxiety, bipolar concerns, eating and sleep issues, stress, grief, trauma, and substance concerns. She also supports people dealing with ADHD, caregiver strain, body image, chronic illness, and transitions related to aging.

Sessions emphasize clear goals, practical coping strategies, and steady support during change. She aims to tailor treatment to each person rather than use a one-size-fits-all plan. Clients can expect direct conversation, concrete tools, and work that fits their life.

Her experience in hospitals and community programs informs how she responds to crises and ongoing challenges. People who want experienced, steady guidance through midlife changes, loss, or shifts in career and relationships may find her style helpful.

How evidence-based approaches translate to online therapy

Barbara uses evidence-based therapeutic techniques aimed at practical change. One common approach focuses on identifying unhelpful thinking and building new coping habits to reduce anxiety and depression. This method helps people break cycles of worry and low mood by practicing different thought patterns and behaviors.

Another approach emphasizes skill-building for emotion regulation and stress management. It teaches concrete tools for handling intense feelings, improving sleep, and managing impulses related to addiction or anger. These skills are taught step by step and practiced between sessions to fit daily life.

Choosing the right approach is a collaborative process. The therapist and client will discuss goals, test what works, and adjust methods over time. That partnership helps find the best mix of techniques for career changes, midlife transitions, grief, or chronic illness challenges.

For practical matters, confirm which session types are offered before booking since formats were not specified in the biography. Online therapy can make it easier to fit sessions into a busy schedule, allow shorter check-ins when needed, and reduce travel time. It can also allow therapy to continue when people move or live outside the therapist's immediate area.