- 40 years experience
- Money and financial issues
- CBT and DBT approaches
About Mary
Mary Alfinito, LCSW-R, helps people facing stress, anxiety, grief, depression, ADHD, trauma, and money and financial issues. She draws on 40 years of practice in New York to support people through big life shifts and everyday struggles. Her style is straightforward and calm, focused on listening and practical steps that make day-to-day life easier.
She offers time to talk about painful events, identity concerns, or ongoing worries without judgement. Sessions often include skills for managing anxiety, organizing tasks, and handling intense emotions. Mary pays attention to how past connections influence current choices and helps people build new ways of coping.
Her work uses methods from cognitive behavioral therapy and dialectical behavior therapy to break unhelpful patterns and teach concrete tools. Trauma-focused approaches are used when past harm affects current functioning, with emphasis on safety and gradual progress. Mary tailors these methods to each person’s situation rather than applying a single formula.
Over four decades she has supported people with a wide range of concerns including attachment and abandonment issues, body image, chronic illness and pain, caregiver stress, codependency, and career or life transitions. She also helps with gender dysphoria and LGBT-related matters when those topics arise in therapy.
Mary encourages small steps and clear goals. She works with each person to track progress and adjust the plan as needed. If you are unsure where to begin, completing the short questionnaire on the site will help connect you to the next step.
How Mary’s Approaches Translate to Online Care
Mary uses cognitive behavioral therapy to help people identify unhelpful thoughts and change them with practical exercises. CBT is often useful for anxiety, low mood, and stress because it focuses on clear skills and behavior changes.She also draws on dialectical behavior therapy to teach emotion regulation, distress tolerance, and stronger interpersonal skills. DBT-style tools can help when emotions feel overwhelming or relationships are strained.
Trauma-focused therapy is used when past events continue to affect daily life. This approach moves at a pace that feels manageable and focuses on reducing the ways trauma limits routine functioning.
Choosing the right approach is part of the work. The therapist will talk through goals, preferences, and how symptoms show up, then collaboratively pick methods that fit each person. That choice can change over time as progress is made.
If you are considering online therapy, confirm the session formats available before booking. Online work can make it easier to fit therapy into a busy schedule, reduce travel time, and allow shorter check-ins when that suits the day. Licensed professionals can adapt CBT, DBT, and trauma-focused techniques to remote sessions so people can practice skills and track progress between meetings.
Areas of focus
Frequently asked questions
What kinds of problems does she help with?
She supports people coping with stress, anxiety, grief, depression, ADHD, trauma and related concerns. Money and financial issues are included among her focus areas.
How would you describe her therapy style?
Her approach is calm and practical, emphasizing listening, clear goals, and everyday skills. Sessions focus on small steps that can be used between meetings.
How much experience does she bring?
She has 40 years of professional experience working in New York across a wide range of concerns and settings.
What credentials and location are listed?
She is listed as LCSW-R and practices in New York.
In which languages are sessions offered?
Sessions are offered in English.
What session formats are available?
Current session formats are not specified here; please confirm the available options before booking.
How do fees and billing 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 the short matching questionnaire, and schedule according to therapist availability.