- Practical problem solving
- Geriatric and eating focus
- Longstanding clinical experience
About Barbara
Barbara Segreto is a licensed clinical social worker (LCSW-R) based in New York. She has worked in mental health settings for decades and focuses on practical help for people facing stress, anxiety, depression, grief, addiction, relationship and intimacy concerns, and questions about career and life changes. She also supports people dealing with ADHD, bipolar disorder, eating and sleeping difficulties, and compassion fatigue.
With 38 years of experience, Barbara draws on work done in hospitals, outpatient clinics, and community programs. She has provided inpatient, emergency, and outpatient services and has run a private practice for more than 20 years. Her background includes roles at hospitals and visiting nurse services in New York and community programs addressing domestic violence.
Barbara pays special attention to aging and geriatric issues and has a long-standing interest in eating concerns. She also works with people affected by chronic illness, caregiving stress, autism spectrum features, blended family tensions, and bereavement. Sessions focus on identifying immediate concerns and setting practical next steps for coping and problem solving.
Her style is direct and respectful. She aims to create a plan tailored to each person’s situation and goals. Barbara emphasizes clear, doable strategies that can fit into everyday life while addressing deeper patterns that maintain distress.
Starting therapy is a step toward change, and she invites people who are ready to work on specific problems to begin that process together.
How evidence-based techniques guide online care
Barbara uses evidence-based therapeutic techniques that focus on clear, practical work. One approach emphasizes structured problem solving to break down large stressors into concrete steps, which can help with anxiety, work or financial stress, and mood problems. Another common method involves behavioral strategies to address sleep, eating patterns, and daily routines so people can regain stability and feel more in control.Finding the right approach is part of the work together. The therapist will collaborate with each person to decide which techniques match their needs, goals, and preferences, and then adapt strategies over time based on what helps most.
If you are considering online therapy, check which session options are currently offered before booking. Online sessions can make it easier to fit therapy into a busy life, reduce travel time, and allow shorter check-ins when needed. They can also let people continue care while managing health, work, or caregiving demands. Licensed professionals, including therapists, can use these methods effectively in remote sessions, and Barbara will discuss which approach and session rhythm suit your situation.
Areas of focus
Frequently asked questions
What kinds of concerns can Barbara help with?
She helps with depression, anxiety, stress, addictions, grief, trauma, relationship and intimacy issues, sleeping and eating problems, ADHD, bipolar disorder, and career or life transitions.
How would you describe her therapeutic approach?
She uses evidence-based therapeutic techniques and focuses on practical steps. Sessions tend to be goal-oriented and aimed at resolving specific problems and patterns.
What is her professional background?
Barbara has 38 years of clinical experience working in inpatient, emergency, and outpatient settings, and she has maintained a private practice for over 20 years.
What credentials and location are listed?
She holds the LCSW-R credential and practices in New York state.
Which languages are supported for sessions?
Sessions are offered in English and international clients are accepted.
What session formats are available?
Session formats are not specified in the biography; please confirm current session options before booking.
How does billing and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.