Anne Guarino, LCSW-R

Anne Guarino is a licensed therapist based in New York with more than 25 years of experience in the human services field. As an LCSW-R (Licensed Clinical Social Worker - Registered), she combines professional training with long-term practical experience to support individuals and couples across the lifespan.

She has worked with people facing a wide range of concerns, including stress and anxiety, relationship and family challenges, grief and loss, and major life transitions. Her practice also addresses issues such as attachment and abandonment, caregiver stress, chronic illness and pain, communication difficulties, divorce and separation, and questions of life purpose and midlife transition.

Anne brings a warm, supportive, and individualized style to therapy. She draws from evidence-based therapeutic techniques, offers practical tools when helpful, and also makes space to explore deeper emotional patterns. Believing that therapy is not one-size-fits-all, she collaborates with each person to identify the approaches and goals that feel most useful and meaningful.

She recognizes that reaching out for help is a courageous step and treats that decision with respect. Anne aims to create an environment where clients feel understood and supported, and she values being part of their process as they work toward greater coping, clarity, and connection.

Evidence-Based Care and Remote Support

Anne uses practical, evidence-based techniques that help people manage symptoms and build skills. One common focus is skills-based coping work, which teaches concrete strategies for reducing stress and anxiety, improving mood, and handling day-to-day challenges. Another emphasis is emotion-focused exploration, which helps clients identify and process underlying feelings related to grief, attachment wounds, or major life transitions; this approach supports deeper insight and improved emotional regulation.

Finding the right therapeutic approach is part of the process, and Anne works collaboratively with each person to determine what fits best. She tailors methods to the individual’s needs, goals, and preferences, adjusting tools and focus as progress unfolds so therapy stays relevant and practical.

Online therapy with Anne is offered via video calls, phone sessions, live chat, and text-based messaging, providing flexibility for different schedules and comfort levels. These options make it easier to maintain regular sessions during busy periods, support continuity through life changes, and help people access licensed professionals from their own communities.