Barbara Segreto , LCSW-R

Barbara Segreto is a licensed clinical social worker in New York with nearly four decades of professional experience. She holds a Master of Social Work from New York University and the LCSW-R credential - a licensed clinical social worker with registration - reflecting extensive clinical training and practice. Her background includes long-term roles in inpatient, emergency, and outpatient settings where she supported adults facing a range of mental health challenges.

Over more than 20 years in private practice, Barbara has developed sub-specialties in geriatrics and eating disorders while also providing care for depression, anxiety, bipolar disorder, schizophrenia, panic disorder, Tourette's syndrome, and obsessive-compulsive disorder. Her career has included clinical appointments at Jacobi Hospital in the Bronx, the Visiting Nurse Service of New York in the Bronx, St. Peter's Health Partners in Albany, the Eddy Visiting Nurse Association in Troy, and Unity House Domestic Violence Program in Troy.

Barbara emphasizes individualized treatment plans that reflect each person's circumstances and strengths. She brings specialized training and a practical orientation to helping people build coping skills, manage crises, and navigate life transitions. Respectful and client-centered, her approach aims to match interventions to the unique needs of each individual.

Evidence-Based Approaches and Online Care

Barbara uses evidence-based therapeutic techniques that focus on structured, goal-focused interventions. These approaches break concerns into manageable steps, teach practical coping skills, and help clients address symptoms such as anxiety, depression, addiction-related behaviors, and eating-disorder patterns in a systematic way.

She also emphasizes skills-based work that builds emotional regulation, problem-solving, and relapse-prevention strategies. This kind of work supports clients facing relationship challenges, grief, trauma-related difficulties, and stress by giving them tools to manage triggers and improve daily functioning.

Choosing the right method is a collaborative process. Barbara works with each person to identify goals, preferences, and what feels most useful, then adapts techniques over time so therapy stays aligned with the client’s needs.

Online sessions by video call, phone, live chat, or text-based messaging make this work more flexible and accessible. These options allow clients to fit therapy into busy lives, maintain continuity of care across locations, and engage with licensed professionals in ways that suit their schedules and communication styles.