Kristin Puleo, LMHC

Kristin Puleo is a licensed mental health counselor (LMHC) in New York who helps people untangle overwhelming emotions and move forward. She welcomes people coping with stress, anxiety, depression, grief, relationship and intimacy concerns, ADHD, addictions, and life changes. Kristin uses straightforward conversation and practical steps to make progress feel doable. Her approach mixes several evidence-informed methods aimed at clarity and action. She blends Acceptance and Commitment Therapy and Cognitive Behavioral Therapy to change unhelpful thinking and build manageable routines. Attachment-based work and client-centered techniques guide conversations about relationships and safety. Dialectical Behavior Therapy skills are woven in when intense emotions need regulation. Kristin has 14 years of clinical experience working with many concerns, including caregiver stress, aging and geriatric issues, chronic illness, trauma and abuse, and identity questions such as gender dysphoria and LGBT-related matters. She pays attention to daily habits like sleep and eating when those patterns affect mood. In sessions she aims for clear goals, practical plans, and honest feedback. She uses humor at times to ease tension and keep the work engaging. Kristin helps clients identify what’s blocking them and then create steps to remove those obstacles. To begin she asks people to reflect on triggers and readiness to change. If someone is prepared to try new perspectives and put in the effort between meetings, she offers a collaborative path toward more stable, functional days.

How Kristin’s approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts without getting stuck in them and then choose actions that match their values. It’s useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on spotting and changing unhelpful thoughts and habits to reduce distress and improve daily functioning. It often helps with sleep, mood, and anxiety. Attachment-Based Therapy centers on how early relationship patterns affect current connections and can help when trust, abandonment, or intimacy problems cause turmoil. Finding the right approach is part of the therapeutic process. Kristin will talk with each person about goals and preferences and try methods that fit their situation. That collaborative process means approaches can shift as needs change. Session format details are not listed in the biography, so confirm current online options before booking. Many people appreciate online work because it can fit into busy schedules, remove commute time, and make it easier to keep consistent appointments. Online sessions can also allow for shorter check-ins when time is tight or offer video when seeing facial cues helps the work. If you have questions about pacing, homework, or how skills practice will be handled remotely, Kristin can explain how she adapts exercises to match your daily life.