Mary Alfinito, LCSW-R

Mary Alfinito, LCSW-R, helps people manage stress, anxiety, grief, depression, and the daily demands of living with health challenges. She has decades of practice supporting people with ADHD, trauma and abuse, self-esteem concerns, and LGBT-related issues. Her approach is practical and straightforward, aimed at making the next step feel doable for someone who is worried or overwhelmed.

She brings 40 years of clinical experience and keeps sessions focused on what matters now. Conversations center on clear goals, coping skills, and strategies to reduce distress. Sessions also address relationship problems, career stresses, and the emotional impact of chronic pain, illness, or disability.

Mary uses Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and trauma-focused methods to guide her work. She helps people notice patterns, practice new skills, and handle difficult emotions with less intensity. Progress often comes from small, repeatable changes rather than big one-time fixes.

Her style is warm and direct. She aims to create a nonjudgmental space where thoughts and feelings can be talked through openly. People describe her as steady and practical when sorting through complicated issues like attachment wounds, abandonment, guilt, or shame.

Mary is licensed in New York as an LCSW-R and conducts her practice in English. To begin, a short matching questionnaire and scheduling step are used so people can connect with her according to her availability.

How Mary’s approaches translate to online work

Mary uses Cognitive Behavioral Therapy to help people spot unhelpful thoughts and try new behaviors. CBT focuses on practical exercises and small experiments that reduce anxiety and lift mood. Dialectical Behavior Therapy helps with intense emotions and teaches skills for managing distress, improving relationships, and tolerating strong feelings. Trauma-Focused Therapy concentrates on how past harm affects present life and on building skills to feel safer and more regulated.

Choosing the right approach is a collaborative process. The therapist will discuss your goals, preferences, and what has or hasn’t worked before. Together the client and therapist adjust methods over time so the plan fits the person’s needs and day-to-day life.

The practical benefits of online therapy can include easier scheduling and the ability to fit sessions into a busy day. Because formats were not specified in the biography, confirm current session options before booking. Online work can support steady skill practice, shorter check-ins when needed, and continuity of care when in-person meetings are difficult to arrange.