Works with
- Anger
- Addictions
- Family conflicts
- Eating disorders
- Career difficulties
- Bipolar disorder
How Barbara works
- Not listed
Practical facts
- Credentials
- LCSW-R
- Licensed in
- New York
- Years in practice
- 38
- Languages
- English
- Session format
- Online, through our partner platform
About Barbara
Barbara Segreto is a licensed clinical social worker who helps people manage strong emotions and life stressors. She brings decades of experience to sessions and aims to make the first step feel manageable for someone worried and unsure. She works with adults facing a wide range of concerns, including anxiety, depression, grief, stress, addiction, and anger.
She also supports people coping with relationship and intimacy issues, career strain, parenting challenges, and changes tied to aging or chronic illness.
Background and approach
Her background includes long experience in inpatient, emergency, and outpatient settings. She has worked in hospital and community agencies in New York and upstate locations, and she has run a independent practice for more than 20 years. Her training includes a Master of Social Work from New York University and a New York LCSW-R credential.
In sessions she focuses on practical, evidence-based techniques to help people reduce upsetting symptoms and improve daily functioning. She aims to tailor plans to each person’s situation and goals, using straightforward strategies rather than jargon. People who choose her often want a steady, experienced guide through difficult transitions.
She accepts international clients and conducts sessions in English. She uses video calls, phone, live chat, and text-based messaging to meet different needs and schedules.
What Barbara works with
Everything Barbara lists, in the therapist's own terms. Anger is the reason this directory exists; the rest tells you what usually sits alongside it in Barbara's practice.
- Addictions
- Family conflicts
- Eating disorders
- Career difficulties
- Bipolar disorder
- Stress, Anxiety
- LGBT
- Relationship issues
- Trauma and abuse
- Grief
- Intimacy-related issues
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Depression
- Coping with life changes
- Coaching
- Compassion fatigue
- ADHD
- Aging and geriatric issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Body image
- Cancer
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Coping with natural or human-caused disaster
- Dependent personality
- 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
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Infidelity
- Isolation / loneliness
- Men's issues
- Midlife crisis
- Veteran and Armed Forces Issues
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Personality disorders
- Postpartum depression
- Process addiction (porn, exercise, gambling)
- Self-harm
- Smoking / vaping cessation
- Trichotillomania
- Workplace issues
- Young adult issues
Approaches for online work and what to expect
Barbara uses practical, evidence-based therapeutic techniques tailored to each person. Cognitive-behavioral approaches focus on changing unhelpful thoughts and behaviors; they help with anxiety, worry, sleeping problems, and anger by teaching coping skills and structured practice. Problem-solving and coaching-style work helps people handle career, caregiving, and life-change stress by breaking big problems into manageable steps and building clear action plans.Choosing the best approach is a collaborative process. The therapist will talk with each person about their goals and preferences, try techniques, and adjust the plan over time to find what works best for symptom relief and daily functioning.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to fit different needs. Video is useful for in-depth work and emotional connection. Phone sessions use less bandwidth and can fit a break from work. Live chat or text messaging can support quick check-ins, short skill practice, or ongoing support between longer sessions. These options make therapy more flexible and easier to fit into a busy life.
Questions people ask about Barbara
What concerns does she work with?
She supports people with anxiety, depression, anger, addictions, grief, trauma, relationship and intimacy issues, eating concerns, bipolar disorder, ADHD, and related life stressors.
What is her therapeutic style?
She uses practical, evidence-based techniques and focuses on clear, doable steps. Sessions aim to reduce distress and improve everyday functioning.
How long has she practiced?
She brings 38 years of professional experience, including inpatient, emergency, outpatient, and independent practice work.
What are her credentials and where is she based?
She holds a Master of Social Work and is a New York LCSW-R based in New York.
Can I work with her if I live outside the United States?
Yes, she accepts international clients and conducts sessions in English.
Which session formats are offered?
Sessions can be delivered by video calls, phone sessions, live chat, or text-based messaging to fit different schedules and needs.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working together?
Click the Start Therapy button, complete a short matching questionnaire, and schedule a session based on the therapist's availability.