Mary Alfinito, LCSW-R

Mary Alfinito is a New York LCSW-R with 40 years of clinical experience. She sees adults and has long helped people dealing with stress, anxiety, depression, grief, and codependency. She also supports clients facing ADHD, trauma and abuse, and LGBTQ concerns.

Mary uses straightforward conversation to help people name what is wearing them down. Sessions focus on what is happening now and on practical steps to try between meetings. She listens for patterns - such as people-pleasing, trouble saying no, or getting lost in another person’s needs - and works with clients to notice options for change.

Her approach draws on Cognitive Behavioral Therapy and Dialectical Behavior Therapy to map thoughts, emotions, and behaviors. Trauma-Focused Therapy tools are available when past hurt affects current life. These methods are used to build skills for managing anxiety, improving boundaries, and coping with loss.

Mary combines clinical knowledge with many years of direct work. That experience informs how she helps clients set small, realistic goals and practice them outside sessions. Meetings tend to be clear and goal-oriented while also allowing time to process strong feelings.

People who contact Mary are often looking to feel steadier and clearer about their choices. She asks practical questions at the start and helps prioritize what to work on first. To begin, clients follow the site process to match and schedule an initial session.

Approaches used and how online sessions work