About Holly
Holly Spire uses a client-centered approach to help people manage stress and anxiety. She draws on decades of experience to support those coping with grief, low self-esteem, depression, and major life changes. Holly writes plainly and listens closely, meeting people where they are and helping them take practical next steps.
Holly is a licensed clinical social worker, LCSW-R, with 30 years of professional experience in New York. She emphasizes that clients know their own stories and builds on their strengths.
How Holly works
Sessions focus on clear goals, steady progress, and skills that can be used between meetings. Her practice includes work with body image, eating and food-related issues, and women's concerns. She also helps people facing cancer, caregiver stress, and the fallout from domestic violence or sexual assault.
Trauma-related care and support for those affected by narcissistic behavior are part of her focus areas. Holly integrates Dialectical Behavior Therapy skills, mindfulness, and somatic techniques where they fit the client's needs. Trauma-focused methods are used when people want to address past painful events.
The goal is practical coping skills, better emotional regulation, and more self-compassion. Therapy sessions are offered via video calls, phone, live chat, or text-based messaging. Holly encourages a pace that feels manageable and works with each person to set realistic steps.
She values the courage it takes to begin and supports clients through the process.
Holly lists 6 ways of working on the entry:
What Holly works with
The areas below are the ones Holly selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Body image
- Cancer
- Caregiver issues and stress
- Coping with life changes
- Depression
- Domestic violence
- Eating and food-related issues
- Narcissism
- Post-traumatic stress
- Self-love
- Sexual assault and abuse
- Women's issues
- Young adult issues
Training and background
| Register | LCSW-R |
|---|---|
| Years in practice | 30 |
| 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 therapy approaches translate to online care
Client-centered therapy focuses on the person's own goals and perspective. Online sessions let the therapist listen closely, reflect what matters most, and work with each person to set useful steps toward change.Mindfulness therapy teaches simple present-moment skills to reduce reactivity and worry. Practicing these techniques during video or phone sessions helps people bring calm into daily life. Dialectical Behavior Therapy, or DBT, offers concrete skills for emotion regulation, distress tolerance, and better communication. Those skills fit well into short check-ins, text-based skill reminders, and longer video sessions.
Finding the right approach is part of the work. The therapist collaborates with each person to decide which tools and methods match their needs, goals, and preferences. That choice can shift over time as progress is made.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for deeper conversation and skills practice. Phone sessions can be easier when bandwidth is limited or camera use is tiring. Live chat and text messaging offer brief check-ins, quick skill refreshers, or a shorter way to touch base between longer sessions. These options make it easier to fit therapy into a busy life.
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Common questions
What issues does Holly focus on?
What is Holly's therapeutic style?
How much experience does she have?
What are her credentials and location?
Which languages are supported?
What session formats are available?
How does pricing work?
How do I begin therapy with Holly?
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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