Mary Alfinito, LCSW-R

Mary Alfinito, LCSW-R, helps people facing stress, anxiety, depression, grief, and LGBT-related concerns. She draws on 40 years of clinical experience and offers straightforward support for ADHD, trauma, and self-esteem struggles. Her approach is down-to-earth and practical for people juggling work, caregiving, and health issues.

Mary listens first and builds a plan with each person. She uses tools from Cognitive Behavioral Therapy and Dialectical Behavior Therapy to address unhelpful thinking and build coping skills. Trauma-focused methods are used when past events continue to cause distress.

Sessions focus on clear goals and small, doable steps. She helps people manage symptoms, improve communication, and make daily life more manageable. Topics often include attachment and abandonment concerns, body image, chronic illness, and caregiver stress.

Her background spans community and clinical settings in New York across many decades. That experience informs a practical style that aims to make therapy feel familiar and useful. She encourages honesty and direct conversation about what is and isn’t working.

People seeking help with career questions, coping with change, or navigating gender dysphoria will find a clinician who emphasizes problem-solving and emotional understanding. The work is collaborative, focused on building skills, and paced to fit each person’s needs.

Therapeutic approaches for online work

Mary uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and try different ways of thinking and acting. CBT is often used for anxiety, depression, and stress so people can learn concrete skills to feel better day to day.

She also draws on Dialectical Behavior Therapy techniques to teach emotion regulation, distress tolerance, and clearer communication. DBT skills can be helpful for managing strong emotions, improving relationships, and coping during crises.

Finding the right approach is a collaborative process. Mary will talk with each person about goals, preferences, and what feels most useful. Together they adjust methods and try strategies that fit the person's life and needs.

Confirm current session options before booking to know which online formats are offered. Online work can make it easier to fit therapy into a busy schedule, shorten travel time, and allow for more flexible appointment times. It also lets people continue care while handling work, caregiving, or health challenges.