About Barbara
Barbara Segreto is a licensed clinical social worker in New York who focuses on helping adults facing a wide range of life challenges. She talks plainly about concerns like anxiety, depression, grief, addictions, and eating issues so people can understand options and next steps quickly. She draws on 38 years of clinical experience across inpatient, emergency, and outpatient settings.
That background includes work at hospitals and community agencies, plus more than 20 years in independent practice.
How Barbara works
Her credential is LCSW-R, which reflects her clinical license in New York. In sessions she helps people manage intense emotions, cope with major life changes, and rebuild routines such as sleep and daily self-care. She also supports people dealing with bipolar disorder, trauma and abuse, ADHD, and relationship or intimacy-related concerns.
Practical strategies are combined with steady listening to make progress feel manageable. Barbara has particular experience with aging and geriatric issues and with eating disorders, and she has worked in settings that serve medical and caregiving populations. That variety means she can connect health and life stressors to emotional struggles in a realistic way.
Her style is collaborative and goal-oriented. She works with each person to tailor a plan that fits their situation, whether that means short-term coaching, longer therapy, or coping tools for daily life. She encourages small, steady steps and checks in on what is working.
People who want to start will find clear next steps and flexible session formats. She offers conversation focused on real problems and practical ways to move forward.
What Barbara works with
The areas below are the ones Barbara selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Addictions
- Family conflicts
- Eating disorders
Also listed
- ADHD
- Aging and geriatric issues
- Anger management
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Family of origin issues
- Family problems
- Fatherhood issues
- Gender dysphoria
- Grief
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Postpartum depression
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Self esteem
- Self-harm
- Sleeping disorders
- Smoking / vaping cessation
- Stress, Anxiety
- Trauma and abuse
- Trichotillomania
- Veteran and Armed Forces Issues
- Workplace issues
- Young adult issues
Training and background
| Register | LCSW-R |
|---|---|
| Years in practice | 38 |
| 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
Evidence-Based Techniques and Online Access
Barbara uses evidence-based therapeutic techniques to help people manage symptoms and build coping skills. One approach focuses on practical behavioral strategies to change routines and habits that contribute to anxiety, sleep problems, and mood swings. This helps when daily structure or small habit changes can make a big difference.Another element of her work emphasizes emotion-focused problem-solving to address grief, relationship tensions, and trauma-related reactions. That involves naming emotions, tracking patterns, and trying new coping responses in everyday life. These methods suit people dealing with loss, intimacy issues, or stress from caregiving and medical concerns.
Finding the right approach is part of the work together. She collaborates with each person to identify goals, tries methods that fit their needs, and adjusts plans based on what helps. Clients are invited to give feedback so the direction of sessions matches their priorities.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation; phone sessions work well when bandwidth is limited or when being on camera is difficult. Live chat and text-based messaging provide shorter check-ins, written reflections, or support between sessions. These options make it easier to fit therapy into busy schedules and to keep momentum between appointments.
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Common questions
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How much clinical experience does she have?
What are her credentials and where is she based?
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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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