Barbara Segreto, LCSW-R

Barbara Segreto is a licensed clinical social worker (LCSW-R) based in New York with nearly four decades of experience. She helps people facing depression, anxiety, stress, grief, and substance concerns. She also supports those dealing with chronic illness, caregiving strain, eating issues, and age-related challenges. Barbara approaches each person with respect and attention to their specific situation.

Barbara draws on long experience in hospitals, visiting nurse services, outpatient settings, and a private practice she has run for over 20 years. That background means she is familiar with crisis work, longer-term therapy, and practical problems that come with medical conditions. She has worked in inpatient and emergency settings as well as community programs.

Her work includes helping people with mood disorders such as bipolar disorder and depression, anxiety and panic, trauma and abuse, and complex situations like co-occurring conditions and caregiver stress. She has also supported people with eating concerns, body image, and challenges related to aging and disability.

Sessions focus on understanding what is happening now and finding workable steps forward. Barbara tailors treatment plans to the person's life and goals. She aims for clear, practical strategies rather than jargon.

Barbara accepts clients from outside the region as well as those in New York. She conducts sessions in English and notes that starting therapy is a brave first step. The initial process begins with a short matching questionnaire and scheduling that fits the client's needs.

How evidence-based approaches fit online care

Barbara uses evidence-based therapeutic techniques that help people manage mood, anxiety, and stress. One common approach involves identifying unhelpful thought patterns and testing them against everyday experience to reduce anxiety and low mood. This method helps with worry, depression, and coping with life changes.

An additional focus is practical problem-solving and skill-building to handle daily challenges like sleep problems, caregiver stress, and managing chronic illness. That work looks at routines, pacing, and small behavioral changes that can make daily life feel more manageable.

Finding the right approach is part of the work together. The therapist and client discuss goals, try methods, and adjust as progress is made. That collaborative process helps match techniques to the person’s needs and preferences.

Online therapy can make it easier to fit sessions into a busy life, cutting out travel time and allowing check-ins around work or caregiving responsibilities. Different formats have different practical benefits, so confirm the session options before booking. The aim is to make consistent, useful therapy accessible while focusing on the approaches that best address the client’s concerns.