Mary Alfinito, LCSW-R

Mary Alfinito is a licensed clinical social worker practicing in New York with four decades of professional experience working with children, adolescents, and adults. She holds the LCSW-R credential, which indicates a licensed clinical social worker registered to provide advanced clinical services in New York. Over 40 years she has developed experience supporting people facing stress and anxiety, depression, grief and loss, ADHD and attention concerns, trauma and abuse, and relationship and self-esteem challenges.

Mary also works with LGBTQ-related issues, caregiving stress, chronic illness and disability, autism and developmental differences, and a broad range of emotional and behavioral concerns. Her approach centers on creating an open, nonjudgmental space where thoughts and feelings can be explored and practical strategies can be developed. She combines evidence-informed techniques with empathic listening to help clients manage symptoms, navigate life transitions, and pursue personal goals.

Taking the first step toward therapy can take courage, and Mary seeks to make that step easier by offering supportive guidance and clear options for care. She provides services to clients throughout New York and frames her work around collaboration, respect, and steady clinical experience.

Evidence-based approaches for online therapy

Mary integrates several proven approaches into her online practice to meet different needs. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thought and behavior patterns and replacing them with more constructive alternatives; it is commonly used for anxiety, depression, and stress management. Dialectical Behavior Therapy, or DBT, emphasizes skills for emotional regulation, distress tolerance, interpersonal effectiveness, and mindfulness - it can be especially helpful for intense emotions and relationship challenges. Trauma-Focused Therapy concentrates on understanding and processing the impact of traumatic experiences, helping reduce the ongoing effects of trauma and supporting recovery.

Finding the right approach is part of the therapeutic process, and Mary works collaboratively with each person to determine which methods fit best based on their needs, goals, and preferences. She adapts techniques over time as progress and circumstances change.

Online therapy with Mary is offered through video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These options make it easier to access licensed professionals and maintain continuity of care across life changes, travel, and busy routines.