About Barbara
Barbara Segreto is a licensed clinical social worker (LCSW-R) based in New York with nearly four decades of experience helping people through hard times. She offers steady, practical support for concerns like anxiety, depression, grief, stress, and relationship strain. Her approach is straightforward and respectful, focused on what each person needs right now.
Barbara draws on long experience in hospitals, community agencies, and outpatient settings. She has worked in inpatient and emergency care as well as home health and domestic violence programs, and she has run a independent practice for more than 20 years.
Background and approach
That background means she is used to helping people in crisis and people who need ongoing support. She helps people manage a wide range of concerns including eating issues, addictions, bipolar disorder, trauma and abuse, sleep trouble, and caregiver stress. She also offers support around career questions, life transitions, self-esteem, and intimacy-related problems.
Her work includes attention to aging and geriatric issues and complex medical or chronic illnesses. Sessions focus on practical strategies and clear next steps. She listens to each person’s story and then helps set achievable goals.
Her style is direct but compassionate, aiming to make progress in ways that fit day-to-day life. People who choose Barbara can expect an experienced clinician who values respect and individualized care. She encourages taking one small step at a time and works with clients to create plans that feel doable and relevant to their situation.
Evidence-based approaches and online care
Barbara uses evidence-based therapeutic techniques that focus on clear, practical work. One common approach emphasizes teaching coping skills for anxiety and stress, such as breathing, grounding, and step-by-step exposure to feared situations; these tools help reduce avoidance and build confidence over time. Another frequent focus is problem-solving and behavioral strategies for mood and daily functioning, which break larger problems into small, manageable tasks and routines to improve sleep, activity, and motivation.Choosing the right approach is collaborative. The therapist will talk with each person about needs, goals, and preferences, then suggest methods to try. They adjust the plan as progress is made so the work stays relevant and useful for the client's life.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which allow flexible scheduling and different ways to check in. Video is useful when visual cues and longer conversations help, phone sessions work well when bandwidth is limited, live chat can be a shorter check-in during a busy day, and messaging supports ongoing reflection between sessions. These options make it easier to fit therapy into work, caregiving, or travel routines while keeping the focus on practical progress.
Questions people ask
What concerns does she help with?
What is her therapeutic style?
How much clinical experience does she have?
What credentials and location are listed?
Which languages are supported and can international clients work together?
What session formats are offered?
How is cost handled?
What are the steps to begin working together?
What this therapist works with
Most often
- Addictions
- Family conflicts
- Eating disorders
Also listed
- ADHD
- Aging and geriatric issues
- Anger management
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Family of origin issues
- Family problems
- Fatherhood issues
- Gender dysphoria
- Grief
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Postpartum depression
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Self esteem
- Self-harm
- Sleeping disorders
- Smoking / vaping cessation
- Stress, Anxiety
- Trauma and abuse
- Trichotillomania
- Veteran and Armed Forces Issues
- Workplace issues
- Young adult issues
- Experience
- 38 years
- Licensed
- New York
- Languages
- English
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