Susan Acosta, LCSW

Susan Acosta is a New York LCSW with 20 years of clinical experience. She works with adults who are coping with addictions, relationship strain, family conflict, stress, anxiety, and issues around intimacy and self-esteem.

Susan listens without rushing and focuses on practical steps people can try between sessions. She draws on client-centered techniques to follow what matters most to each person. Her work also uses cognitive behavioral tools to spot and change unhelpful thinking patterns.

Clients often come with tangled relationship dynamics, codependency concerns, blended family stress, or the fallout of divorce and separation. She helps people name patterns, set clearer boundaries, and build small, manageable changes in day-to-day life. Sessions address parenting challenges and anger when those areas are part of the problem.

Susan uses motivational interviewing to support people who are unsure about making changes, and solution-focused methods to identify concrete next steps. Conversations are direct and practical, with an aim toward skills people can use right away.

Her approach balances listening with concrete strategies. She encourages straightforward goals and checks progress regularly. For people dealing with drug or alcohol addiction, dependent personality traits, or major life shifts, she works to identify realistic, stepwise options and supports follow-through.

How therapeutic approaches translate to online work