Barbara Segreto , LCSW-R

Barbara Segreto is a Licensed Clinical Social Worker - Registered (LCSW-R) practicing in New York with 38 years of professional experience. She earned a Masters Degree in Social Work from New York University and brings decades of clinical work across inpatient, emergency, and outpatient settings to her therapeutic practice.

Her background 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 institutional positions, she has maintained a private practice for more than 20 years, developing particular expertise in geriatrics and eating disorders.

Segreto has specialized training to help clients manage a wide range of mental health concerns, including depression, anxiety, panic disorder, schizophrenia, bipolar disorder, Tourette's Syndrome, and obsessive-compulsive disorder. She also works with issues related to addiction, trauma, relationships, parenting, grief, sleep difficulties, career challenges, and self-esteem, among others.

Her approach emphasizes respect for each person and treatment plans tailored to individual circumstances. She recognizes that seeking therapy requires courage and frames the therapeutic process as a collaborative effort to address the client’s goals and needs.

Evidence-Based Techniques and Flexible Online Care

Barbara Segreto uses evidence-based therapeutic techniques that focus on practical symptom management and improved coping skills for challenges such as depression, anxiety, trauma, and addiction. These methods emphasize measurable strategies to address current difficulties and build resilience over time.

She also offers coaching-style work to support career transitions, parenting challenges, and other life goals where structured, goal-oriented guidance is helpful. This approach complements clinical therapy by translating insights into concrete actions and problem-solving steps.

Finding the right combination of methods is part of the therapeutic process. Barbara Segreto collaborates with each person to identify which techniques best match their needs, goals, and preferences, adjusting the plan as progress is made.

Online therapy with Barbara Segreto is available through video calls, phone sessions, live chat, or text-based messaging, providing flexible access to licensed professionals regardless of location. These options allow scheduling that fits busy lives, continuity of care during transitions, and different communication styles to suit what feels most effective for each client.