Barbara Segreto, LCSW-R

Barbara Segreto is a licensed clinical social worker in New York with 38 years of professional experience. She holds a Master of Social Work from New York University and the credential LCSW-R, indicating her licensure to provide clinical social work services in the state. Over decades of practice she has worked across inpatient, emergency, and outpatient settings, bringing a broad clinical background to each client encounter.

Her work history includes roles at Jacobi Hospital in the Bronx, the Visiting Nurse Service of New York in the Bronx, St. Peter's Health Partners in Albany, The Eddy Visiting Nurse Association in Troy, and the Unity House Domestic Violence Program in Troy. In addition to these agency positions, she has maintained a private practice for more than 20 years, developing particular experience with eating disorders and geriatric concerns.

Barbara has specialized training to support people managing depression, anxiety, panic disorder, schizophrenia, bipolar disorder, Tourette's Syndrome, and obsessive-compulsive disorder. She emphasizes respectful, individualized care, tailoring treatment plans to each person’s unique situation. Recognizing that beginning therapy takes courage, she welcomes the opportunity to work with clients who are ready to take that step and looks forward to meeting them.

Evidence-Based Techniques and Online Care

Barbara Segreto uses evidence-based therapeutic techniques that focus on practical, goal-oriented work and symptom relief. One common approach emphasizes skill building - helping clients develop coping strategies, emotional regulation, and problem-solving tools that apply to anxiety, depression, and stress-related conditions. Another approach centers on assessment-driven treatment planning - carefully evaluating a person’s history and current needs to shape a tailored course of care for complex concerns such as bipolar disorder, trauma, or eating issues.

Finding the right approach is part of the therapeutic process. Barbara works collaboratively with each person to determine which methods fit their goals, preferences, and life circumstances, adjusting the plan as progress is made and needs evolve.

Online therapy offers flexible ways to receive care, including video calls, phone sessions, live chat, and text-based messaging. These options make it easier to schedule sessions around work, caregiving, or travel and allow ongoing support between appointments. Licensed professionals can provide meaningful, evidence-informed treatment through these formats while accommodating different communication styles and accessibility needs.