Anna Marasco, LCSW

Anna Marasco is a licensed clinical social worker (LCSW) based in Utah with 11 years of experience treating trauma, addiction, and dual diagnosis. She practices from a humanistic, client-centered perspective that frames behaviors and coping strategies - including substance use, self-harm, or emotional dysregulation - as survival skills developed over time rather than fixed character traits. This approach invites curiosity and compassion for both the parts of a person they show the world and the darker, more painful experiences they try to hide.

She adapts treatment to each individual, drawing on a range of clinical methods to address PTSD, complicated grief and loss, anxiety, depression, addictions, neurodiversity, personality concerns, and relationship or life-transition challenges. Anna emphasizes collaboration and works to meet clients where they are, supporting goals identified by the client and avoiding one-size-fits-all lists of techniques. As a guide and advocate, she aims to help people build skills and confidence while holding space for the complexity of their lives.

Anna also holds a Master of Fine Arts in creative writing and brings a passion for storytelling and meaning-making into her work. Outside of therapy she is an avid equestrian and often mentions her horse, Henry, with warmth. She welcomes people taking the first step toward growth and encourages acknowledgment of the hard work already underway.

Therapeutic Approaches and Online Care

Anna integrates attachment-based work, client-centered methods, and cognitive behavioral techniques to support healing. Attachment-Based Therapy explores how early relationships shape current patterns and can help with fears of abandonment, relationship difficulties, and chronic attachment wounds by focusing on safety and relational repair.

Client-Centered Therapy emphasizes empathy and respect for the client’s experience. It creates space for people to express themselves without judgment and helps them identify goals and values that matter most to them.

Cognitive Behavioral Therapy (CBT) provides practical tools to notice and reframe unhelpful thoughts and behaviors. CBT can be useful for anxiety, depression, stress, and patterns that contribute to substance use or emotion dysregulation.

Finding the right approach is a collaborative process. Anna works with clients to determine which combination of methods fits their needs, goals, and preferences, and she adjusts strategies as progress unfolds.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging, making it easier to fit sessions into busy schedules or manage care from remote locations. Licensed professionals can deliver meaningful therapeutic work through these formats, and Anna uses them to increase access and continuity of care while tailoring the pace and style to each person’s needs.