Barbara Segreto

Barbara Segreto is a licensed clinical social worker (LCSW-R) based in New York with decades of experience. She helps people facing depression, anxiety, grief, addiction, eating concerns, and major life changes. She also supports those managing bipolar disorder, trauma, caregiver stress, and challenges related to aging and chronic illness.

She uses evidence-based therapeutic techniques to create practical, individualized plans. Sessions focus on clear goals, coping skills, and everyday strategies that people can use between meetings. Conversations are straightforward and guided by what each person needs right now.

Barbara has worked across in-patient, emergency, and outpatient settings. Her background includes time at hospitals and visiting nurse services, plus more than 20 years in private practice. That range gives her experience with crisis care and long-term support.

Her work includes helping people with caregiving strain, cancer-related distress, body image, and sleep problems. She also addresses relationship difficulties, intimacy concerns, and the toll of compassion fatigue. She adapts approaches as issues change over time.

Starting therapy is treated as a step-by-step process. Barbara aims to build realistic plans and help people notice small improvements. She welcomes questions about the process and about how therapy can fit into an everyday schedule.

How evidence-based methods translate to online care

Barbara draws on evidence-based therapeutic techniques that focus on practical skills and problem solving. One approach emphasizes building coping skills and behavioral changes to reduce symptoms like anxiety, sleep problems, or low mood. This helps people develop routines and strategies they can use day to day.

Another approach centers on grief and coping with loss, which involves talking through difficult feelings, creating space for remembering, and finding ways to manage practical tasks during hard times. This work supports people facing bereavement, caregiving strain, or illness-related loss.

Choosing the right approach is usually collaborative. The therapist will talk with each person about goals, preferences, and what has or hasn’t helped before. Together they decide which techniques to try and adjust the plan as progress is made.

If you are considering online therapy, confirm available session formats before booking since the biography does not list them. Online options can make scheduling easier, help fit therapy into a busy day, and reduce travel time. Some formats also allow shorter check-ins or phone conversations when that better suits a person’s routine.