Andrea Graziano , LPC, LMHC

Andrea Graziano is a Licensed Mental Health Counselor (LMHC) in New York and a Licensed Professional Counselor (LPC) in Virginia with 15 years of clinical experience supporting individuals, couples, and families through anxiety, depression and life stressors. She completed her degree at Medaille College in 2008 and has worked across outpatient and residential counseling settings as well as in case management, bringing a practical, experienced approach to each therapeutic relationship.

Andrea favors a client-centered style that follows the person's lead, honoring the perspective that no one knows their life better than they do. Her work integrates Cognitive Behavioral Therapy - a structured method that links thoughts, emotions and behaviors - and Mindfulness Therapy - practices that develop present-moment awareness and stress management - to help clients address concerns such as stress, self-esteem, relationship challenges, grief, anger and mood disorders including bipolar presentations. She aims to encourage, support and empower people as they make choices aligned with their goals.

Andrea is based in New York and holds licensure in both New York and the Commonwealth of Virginia; she is unable to work with anyone who is not physically located in those states. She is not accepting new clients at this time.

Therapeutic approaches for online care

Andrea integrates several evidence-informed approaches into online work to meet different needs. Client-Centered Therapy focuses on listening, empathy and collaboration so clients set the pace and goals for their growth; it is useful for people seeking a supportive space to explore values and choices. Cognitive Behavioral Therapy (CBT) helps identify and shift unhelpful thought and behavior patterns, which can reduce symptoms of anxiety, depression and stress through practical skill-building. Mindfulness Therapy teaches present-moment awareness and gentle acceptance techniques to improve emotional regulation and reduce reactivity.

Choosing the right approach is part of the therapeutic journey. Andrea works collaboratively with each person and other licensed professionals when appropriate to tailor methods to the client’s goals, preferences and life context, adjusting the plan as progress unfolds.

Online sessions by video, phone, live chat or text-based messaging offer flexibility for people balancing work, family and other responsibilities. These options make it easier to attend regular sessions, maintain continuity of care, and apply skills between meetings while working with therapists and licensed professionals who can adapt treatment to the online format.