Simona Ostrow, LMHC

Simona Ostrow is a licensed mental health counselor (LMHC) based in New York who helps people manage stress, anxiety, depression, bipolar mood changes, career strain, and major life transitions. She aims to make first steps feel manageable and supports clients as they work toward clearer goals and steadier days.

Her approach is straightforward and practical. Simona uses techniques from Cognitive Behavioral Therapy and Dialectical Behavior Therapy to help people notice unhelpful thinking, build coping skills, and respond differently to strong emotions. Sessions focus on small, doable changes that add up over time.

Clients can bring concerns about chronic pain, illness, or disability, caregiver stress, isolation, workplace issues, and relationship or communication problems. She also addresses questions about life purpose, self-worth, forgiveness, and social anxiety in regular appointment work.

Simona values collaboration. She treats people as the experts on their lives and works alongside them to set goals and try strategies that fit daily routines. Progress is paced to the person, with homework and skill practice offered when helpful.

She generally checks messages Monday through Thursday and responds as promptly as she can. To begin, people complete a short matching questionnaire and schedule according to the therapist’s availability. Fees vary by location and the service uses a subscription that can be canceled at any time.

How CBT and DBT Work in Online Care

CBT helps people spot patterns of thinking that make stress and mood problems worse. In short sessions clients learn practical ways to test thoughts, try new behaviors, and reduce worry or low mood. DBT focuses on building emotional regulation, distress tolerance, and interpersonal skills to handle intense feelings and improve communication.

Choosing the right approach is a team effort. The therapist will talk with the client about their goals, how they react to stress, and what feels most useful. Together they will try methods and adjust the plan so it fits the person's day-to-day life and priorities.

The biography does not list specific session formats, so confirm current options before booking. One practical benefit of online work is making therapy fit into a busy schedule - sessions can be easier to fit between errands, work breaks, or caregiving tasks. Online appointments can also allow shorter check-ins when needed, and reduce travel time, which may help people balance therapy with medical care or chronic illness management.