About Lillian
Lillian Tsai helps people who are feeling overwhelmed, anxious, or stuck. She works with adults facing stress, depression, grief, trauma, and relationship struggles. Lillian practices in New York and speaks English and Mandarin.
Lillian is a Licensed Clinical Social Worker - LCSW with 20 years of experience. She draws on approaches that focus on the person and their strengths. Sessions center on practical steps and honest conversation rather than jargon.
How Lillian works
Her style emphasizes listening first. She helps people name what matters and then tries concrete ways to change daily patterns. That can mean short-term problem solving or deeper work on past hurts and loss.
Lillian often uses cognitive behavioral techniques to spot unhelpful thoughts and try new behaviors. She also uses emotionally-focused work to help people understand and express core feelings. Solution-focused methods are brought in when clients want faster, goal-oriented changes.
Issues Lillian commonly addresses include caregiving stress, compassion fatigue, postpartum depression, social anxiety, codependency, and the effects of abuse or assault. She also supports people coping with cancer, aging concerns, hospice and end-of-life matters, and midlife transitions. Sessions are offered by video call, phone, live chat, or text-based messaging.
International clients may work with her. Getting started involves a short matching questionnaire and scheduling through the Start Therapy button.
Lillian lists 6 ways of working on the entry:
What Lillian works with
The areas below are the ones Lillian selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- Aging and geriatric issues
- Cancer
- Career difficulties
- Caregiver issues and stress
- Codependency
- Compassion fatigue
- Coping with life changes
- Depression
- Domestic violence
- Emptiness
- Family conflicts
- Guilt and shame
- Hospice and end-of-life counseling
- Isolation / loneliness
- LGBT
- Midlife crisis
- Post-traumatic stress
- Postpartum depression
- Relationship issues
- Self esteem
- Sexual assault and abuse
- Social anxiety and phobia
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 20 |
| Languages | English, Mandarin |
| 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
Approaches that translate to online care
Client-Centered Therapy focuses on listening and building on each person's strengths. It helps when someone needs space to name feelings and make choices that feel right for them.Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions. It often involves trying small behavior changes and tracking how they affect mood and anxiety.
Emotionally-Focused Therapy helps people tune into core emotions and express them more clearly. It can be useful for processing loss, trauma, or persistent relationship hurts.
Finding the right approach is part of the work. The therapist will talk with the client about goals, preferences, and what has or hasn't helped before. Together they decide which methods to use and adjust the plan over time.
Online therapy offers practical flexibility. Video calls let people see facial cues and stay engaged, while phone sessions can be easier when bandwidth is low or a camera feels like too much. Live chat or text-based messaging work well for brief check-ins, on-the-go coping, or keeping momentum between longer sessions. These options make it simpler to fit therapy into a busy schedule and to continue care from different locations.
Start online instead of waiting
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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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