About Anastasia
Anastasia Przybyla is a licensed mental health counselor (LMHC) based in New York who helps people facing stress, anxiety, depression, bipolar mood concerns, and challenges related to identity and self-esteem. She supports people coping with relationship strain, parenting pressures, trauma and abuse, eating concerns, and ADHD. Anastasia takes an affirming stance toward LGBT issues and can work with international clients in English.
Anastasia favors a warm, collaborative style. She listens first and helps people name what matters most.
How Anastasia works
Sessions focus on practical skills and clearer thinking rather than long lectures. The aim is to build tools that fit day-to-day life. She uses several evidence-based approaches to shape sessions.
Cognitive Behavioral Therapy (CBT) helps identify unhelpful thoughts and try new behaviors. Dialectical Behavior Therapy (DBT) offers concrete skills for emotion regulation and distress tolerance. Client-Centered Therapy keeps the person's goals at the center of the work.
Over five years of clinical experience inform her practice. Anastasia also addresses related concerns such as attachment issues, adoption and foster care experiences, body image, chronic illness and pain, and communication problems. She pays attention to how past wounds affect present choices.
People who choose her can expect a down-to-earth therapist who focuses on usable strategies. The work moves at a pace set by each person, with attention to safety and realistic progress.
Anastasia lists 10 ways of working on the entry:
What Anastasia works with
The areas below are the ones Anastasia selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Body image
- Career difficulties
- Chronic pain, illness, and disability
- Communication problems
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Eating disorders
- Family conflicts
- Family problems
- Fertility issues
- Gender dysphoria
- Guilt and shame
- Impulsivity
- Infidelity
- Isolation / loneliness
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 5 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New York |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How Anastasia’s Approaches Work Online
Client-Centered Therapy puts the person’s goals first and makes each session about what matters most to them; online sessions keep that same focus by letting the therapist follow the client’s lead and adapt tools to their life. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and actions and uses short exercises and behavioral experiments that translate well to video or phone sessions. Dialectical Behavior Therapy (DBT) teaches clear, usable skills for handling strong emotions and can include skill coaching through messaging between sessions.Choosing the right approach is part of the work. Anastasia will talk with each person about their needs, goals, and preferences and help decide which methods to try. That choice is collaborative and can change as progress is made.
Online formats offer flexibility for many people. Video calls allow face-to-face conversation and visual cues. Phone sessions are useful when bandwidth is limited or when a shorter check-in fits the day. Live chat and text-based messaging make it easier to follow up on skills, get brief support between sessions, or communicate without being on camera. These options make therapy more accessible for people with busy schedules or who travel frequently.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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