MD Portrait of Michelle DeFino

Michelle DeFino, LCSW

Supportive LCSW helping with anxiety and stress

3 years in practice · based in New York · sessions in English · online sessions

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About Michelle

Michelle DeFino is a Licensed Clinical Social Worker who helps people facing anxiety, stress, depression, and problems with substance use. She works with individuals who are struggling with grief, anger, or big life changes and offers practical tools to manage day-to-day challenges. She practices in New York and conducts sessions in English.

Michelle focuses on clear, doable steps rather than long lectures. She uses conversations to identify what matters most to each person and then builds simple strategies for coping and change.

Book with Michelle Now Review online therapy options and next steps.

Background and approach

Sessions often include goal-setting, skill practice, and checking what works between meetings. Her background includes clinical work supporting people with mood disorders, trauma, and co-occurring substance concerns. Michelle has three years of experience as an LCSW and has spent time working in programs that support people returning from the criminal justice system.

That work shaped her approach to realistic, strengths-based care. In session she draws from client-centered methods, cognitive behavioral techniques, dialectical behavior strategies, mindfulness, and motivational interviewing. These approaches help with reducing anxious thinking, improving emotional regulation, and increasing motivation for change.

She favors interactive sessions with concrete tools to try outside appointments. People who come to Michelle can expect a straightforward, respectful tone and a focus on what will make life feel more manageable. She prefers video sessions but also offers phone, live chat, and text-based messaging when appropriate.

Sessions are scheduled through an online matching and booking process.

How Michelle’s Approaches Work Online

Michelle often combines cognitive behavioral techniques and mindfulness work in online sessions. CBT looks at how thoughts, feelings, and actions connect and uses small experiments and exercises to change unhelpful patterns. Mindfulness practices help people notice their thoughts and bodily sensations so they can respond more calmly to stress.

She approaches treatment collaboratively. The therapist and client discuss needs, goals, and preferences and then choose which methods to try. That shared process helps shape a plan that fits the person’s life and pace.

Online therapy offers several practical benefits for this work. Video calls allow for face-to-face conversation and demonstrations of skills. Phone sessions require less bandwidth and can be easier during a busy day. Live chat and text-based messaging are useful for brief check-ins, tracking progress, or sending exercises between meetings. These options make it easier to keep consistent care while fitting sessions into a varied schedule.
Book with Michelle Now Review online therapy options and next steps.

Questions people ask

What concerns does she help with?
Michelle works with people facing anxiety, depression, addictions, grief, anger, trauma, parenting stress, bipolar symptoms, and related struggles.
What is her therapy style like?
She uses a practical, client-centered style. Sessions focus on clear goals, skill practice, and real-life strategies to manage symptoms.
What relevant experience does she bring?
Michelle has three years of experience as an LCSW and has worked with people with mood and substance concerns, including re-entry programs for those leaving the justice system.
What are her credentials and location?
She is a Licensed Clinical Social Worker with licenses in New Jersey and New York and practices from New York.
Which languages are offered and are international clients accepted?
Sessions are offered in English. International clients are not currently accepted.
How are sessions delivered?
Michelle offers video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.
How does cost and billing work?
Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.
What steps are needed to begin?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.

What this therapist works with

Most often

Experience
3 years
Licensed
New Jersey, New York
Languages
English

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