Barbara Segreto, LCSW-R

Barbara Segreto is a Licensed Clinical Social Worker with decades of experience helping adults navigate difficult life moments. She focuses on practical support for depression, anxiety, grief, stress, relationship and intimacy concerns, and issues that come with aging and geriatric changes. She aims to make the first steps into therapy straightforward and respectful.

She uses evidence-based therapeutic techniques tailored to each person. Sessions typically involve talking through current problems, identifying patterns that get in the way, and trying new ways of coping that fit daily life. She also supports people facing addictions, eating issues, bipolar disorder, and the emotional strain of caregiving and chronic illness.

Her background includes 38 years of clinical experience in inpatient, emergency, and outpatient settings. She trained at New York University and has worked at hospitals and community agencies across New York. She has also maintained a private practice for over 20 years and notes a sub-specialty in geriatrics and in eating disorders.

In sessions she draws on that history to help people find practical steps forward. People can expect a direct, respectful approach that is centered on their needs and goals. Barbara works with adults who are coping with life changes, trauma, mood concerns, and complicated medical or caregiving situations.

She offers care in English and accepts international clients. To begin, prospective clients complete a short matching questionnaire and schedule according to therapist availability.

Evidence-based approaches and how they work online

Barbara draws on well-established, evidence-based techniques that focus on real-world change. One approach helps people identify thoughts and behaviors that keep problems going and then tests small changes to see what helps. This method suits mood, anxiety, and many stress-related concerns. Another approach concentrates on coping skills for managing strong feelings and building routines that improve sleep, energy, and daily functioning. It can be useful for grief, trauma reactions, and long-term health challenges.

Choosing the right approach is collaborative. The therapist will ask about goals, daily life, and what has or hasn’t worked before. Together they will try methods that match the person’s needs and adjust the plan over time based on progress and feedback.

The biography does not list specific session formats, so confirm current options before booking. In general, online therapy can make it easier to fit sessions into a busy schedule, reduce travel time, and allow quicker check-ins when needed. It can also offer alternatives if mobility, caregiving, or geography make in-person visits hard. Licensed professionals can adapt exercises, homework, and coping strategies to work well in remote appointments, helping clients use what they learn between sessions.