Madeline Libretti, LCSW

Madeline Libretti is a Licensed Clinical Social Worker (LCSW) with a focused, practical approach to helping adults and families navigate stress, anxiety, grief, relationship concerns, and a wide range of life changes. She holds a Master of Social Work from New York University and a Master in Experimental Psychology from St. John's University, and she brings five years of clinical experience working across hospital and primary care settings.

Early in her career she provided mental health support in a New York City hospital system, primarily within Maternal Child Health where she worked with pregnant and postpartum women, families with infants in the NICU, and related pediatric and medical units including the emergency department. In more recent years she has worked in a primary care clinic delivering short-term counseling to adults facing issues such as depression, anxiety, chronic medical conditions, and new medical diagnoses. During the COVID-19 pandemic she also transitioned to virtual care and led a virtual support group addressing pandemic-related challenges.

Her therapeutic stance is collaborative, goal-oriented, and client-centered. She draws on evidence-based tools including Cognitive Behavioral Therapy, solution-focused techniques, and problem-solving strategies to meet people where they are and help them build practical coping skills. As a clinician she emphasizes a team-based approach with the client, working together to set goals and develop healthier habits and supports for lasting change.

Evidence-based approaches and flexible online care

Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and take action toward those values, even when difficult thoughts or feelings are present. It can be useful for anxiety, stress, and coping with major life transitions.

Client-Centered Therapy focuses on creating an accepting, nonjudgmental space where the client leads the pace and content of sessions while the therapist offers empathy and support. This approach supports self-exploration and building self-esteem across many concerns, including relationship and identity issues.

Cognitive Behavioral Therapy (CBT) identifies unhelpful thinking patterns and teaches practical skills to change thoughts and behaviors that contribute to depression, anxiety, and other common problems. CBT emphasizes concrete tools and measurable progress.

Finding the right approach is part of the therapeutic process. Madeline Libretti collaborates with each person to determine which methods fit their needs, goals, and preferences, adjusting strategies over time so treatment remains relevant and effective.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to fit care into busy schedules or to continue therapy from a different location. These options support consistent access to licensed professionals and make it possible to receive ongoing therapeutic support in ways that work best for each individual.