Megan Giacoletto, LMSW

Megan Giacoletto is a clinical social worker (LMSW) based in Michigan who helps people manage stress, anxiety, addiction, depression, and life changes. She also supports people facing LGBTQ concerns, grief, relationship and intimacy issues, and challenges tied to chronic illness or pain. Megan works collaboratively and treats the person, not just the problem.

In sessions she frames the work as a partnership. The client brings knowledge of their life and goals, and Megan offers practical skills and strategies to cope. She focuses on building tools that can be used between meetings so progress continues outside the session time.

Megan uses a mix of practical approaches. She draws on cognitive behavioral ideas to notice and change unhelpful thinking and on acceptance-based methods to sit with difficult emotions while moving toward meaningful action. Mindfulness practices are used to calm the nervous system and increase present-moment awareness.

Motivational interviewing strategies can help when making changes feels overwhelming or when motivation fluctuates. Narrative techniques are used to reframe personal stories and reduce shame for people dealing with addiction, gender questions, or complex relationship patterns.

Her style is straightforward and respectful. She aims to create a space where people can talk openly about sensitive topics like kink, polyamory, sexual concerns, or process addictions without judgment. Megan helps clients set realistic goals and build a plan that fits their daily life.

How therapeutic approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting stuck, and then take small steps toward what matters most. It can be useful for depression, anxiety, chronic illness, and life transitions. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thinking and behavior that keep problems going and then practicing new responses that lead to different outcomes. It is often used for anxiety, mood disorders, sleep problems, and some addictive behaviors. Mindfulness Therapy teaches simple awareness exercises and short practices to calm the body and reduce reactivity, which can help with stress, emotion regulation, and chronic pain.

Figuring out which approach fits best is part of the work. The therapist will talk with each person about goals, preferences, and what has or hasn’t helped before. Together they will try methods that match the client’s needs and adjust the plan as progress is made.

Confirm the session formats offered before booking so you know how meetings will happen. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow for shorter check-ins when a quick plan review is needed. It also makes it possible to work on coping skills and behavior experiments between meetings and then discuss how those went during the next session.