Barbara Segreto

Barbara Segreto is a licensed clinical social worker (LCSW-R) based in New York. She has spent nearly four decades helping people manage problems such as depression, anxiety, anger, grief, and substance use. Her approach is down-to-earth and respectful, and she aims to make the first steps toward help feel manageable.

She uses practical, evidence-based therapeutic techniques to address a wide range of concerns. Sessions focus on understanding what is happening now, learning skills to manage strong emotions, and developing plans to improve daily routines like sleep and work. Barbara also helps people navigate relationship stress, career transitions, and coping after loss or trauma.

Barbara's background includes many years in inpatient, emergency, and outpatient settings. She has worked with hospitals and community agencies, and she has maintained a private practice for over 20 years. Her experience includes work with eating concerns and geriatric issues alongside broader mental health conditions.

Clients can expect straightforward, individualized care that reflects their situation and goals. She frames treatment around practical steps and measurable changes rather than vague promises. People who are worried about anger, mood swings, addiction, or life transitions may find this approach helpful.

Barbara holds a Master of Social Work from New York University and the LCSW-R credential in New York. She accepts international clients and conducts sessions in English. To begin, she asks people to complete a short matching questionnaire and schedule based on availability.

How therapeutic approaches translate to online work

Barbara uses evidence-based therapeutic techniques that focus on skills and problem solving. One common approach she employs teaches concrete coping skills for strong emotions and stress, such as grounding, breathing, and step-by-step behavioral changes; this helps with anger, anxiety, and panic. Another approach emphasizes structured discussion and planning to address mood problems and daily routines, including sleep and activity changes useful for depression and bipolar mood management.

Finding the right approach is part of the work together. The therapist will review a person's goals and needs and then try methods that fit those goals. Sessions are collaborative, and plans are adjusted based on what helps in real life.

The biography does not list specific session formats, so please confirm current online options before booking. Many people find online work helpful because it can fit into busy schedules, reduce travel time, and make it easier to check in during a lunch break or between appointments. Online sessions can also allow for shorter or more frequent touchpoints when that is useful for learning new skills.