Mary Alfinito

Mary Alfinito is a licensed social worker with four decades of clinical experience. She helps people facing stress, anxiety, depression, grief, and eating and food-related issues. She also supports people navigating ADHD, trauma and abuse, and concerns tied to self-esteem and identity.

Mary meets people where they are and keeps things straightforward. She aims to make the therapy room a place to talk honestly about what feels hard. Her style is direct and compassionate, with an emphasis on practical skills and steady support.

Over 40 years she has worked with a wide variety of life challenges, including neurodiversity, chronic illness and disability, and identity-related concerns. She also addresses abandonment and attachment issues, caregiver strain, and the emotional fallout from divorce and separation.

Her approach draws on Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Trauma-Focused Therapy. That means sessions often include ways to notice unhelpful thinking, build emotion regulation skills, and work through past hurts at a manageable pace.

Mary is licensed in New York as an LCSW-R. Sessions are conducted in English and her practice reflects long experience supporting people through change, loss, and transitions. If you want a steady, experienced clinician who focuses on clear strategies, she may be a good match.

To begin, prospective clients follow the site's sign-up steps to match with her and arrange a session based on her availability.

Therapeutic approaches and how they work online

Mary often uses Cognitive Behavioral Therapy to help people identify patterns of thinking that lead to distress and to practice different, more helpful responses. CBT is practical and goal-oriented, and it can help with anxiety, depression, and body image concerns.

She also draws on Dialectical Behavior Therapy skills to teach emotion regulation, distress tolerance, and clearer communication. DBT techniques are useful when strong emotions or repeated crises get in the way of daily life.

Finding the right approach is a collaborative process. The therapist will talk with each person about their goals, needs, and preferences, and will adjust methods as work progresses. That means sessions can shift focus as problems evolve or new priorities emerge.

Confirm the current session options before booking, since formats are not specified here. Online work can make it easier to fit therapy into a busy week, reduce travel time, and allow for shorter check-ins when a quick update is needed. It can also make it simpler to continue regular work on skills between sessions, helping therapeutic gains transfer into everyday routines.