About Barbara
Barbara Segreto is a licensed clinical social worker with deep experience helping adults navigate hard moments. She works with people facing anxiety, depression, grief, relationship problems, addictions, ADHD, and the stress that comes with life changes. Her approach is direct and practical, aimed at finding what helps each person move forward.
She earned a Master of Social Work from New York University and holds the LCSW-R credential in New York.
Background and approach
Over nearly four decades she has worked in inpatient, emergency, and outpatient settings and has kept a independent practice for more than 20 years. That breadth of work means she has seen many different challenges and treatment styles. In sessions she focuses on clear goals and strategies that fit a person’s daily life.
She helps clients sort priorities, build routines, manage symptoms, and address relationship strain. She also supports people dealing with eating concerns, bipolar disorder, trauma, and sleep problems. Barbara has a sub-specialty in geriatrics and experience with eating disorders, and she brings that background into individualized care when relevant.
She also has experience with cancer caregiving, chronic illness, and caregiver stress, and adapts plans to each person’s circumstances. Clients can expect straightforward, respectful conversation and collaborative planning. Barbara emphasizes practical steps and steady follow-through so people can see measurable change over time.
Therapeutic approaches and online care
Barbara often uses evidence-based techniques that focus on clear skills and steps. One common approach involves building routines and coping strategies to manage symptoms like anxiety, sleep problems, or attention challenges; this helps people structure daily life and reduce overwhelm. Another approach emphasizes problem-solving and short-term goals to address specific issues such as relationship strain, addictions, or work stress; it breaks larger problems into concrete next steps.Choosing the right approach is a collaborative process. The therapist will work with each person to identify goals, try methods that fit their needs, and adjust the plan when something is not working. The emphasis is on practical tools and measuring progress together rather than a one-size-fits-all method.
Online therapy offers flexible ways to connect. Video calls allow a face-to-face conversation for in-depth work, phone sessions can be easier when bandwidth or camera use is limited, and live chat or text-based messaging are useful for brief check-ins or coaching between sessions. These options make it easier to fit therapy into a busy life and to continue care across locations.
Questions people ask
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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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