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LMHC

Kristin Puleo, LMHC

  • Experience14 years
  • LocationNew York
  • Focus areasADHD, Stress and Anxiety, and Relationship
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Attachment-Based Therapy
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About Kristin

Kristin Puleo is a New York-based LMHC with 14 years of clinical experience who helps people untangle persistent obstacles that interfere with daily life and relationships. She works with individuals facing stress, anxiety, depression, ADHD, addictions, trauma, grief, and a broad range of emotional and behavioral concerns.

Background and approach

Kristin emphasizes practical goal-setting and collaboration to identify patterns, reduce barriers, and move toward clearer functioning and more satisfying connections. Her style blends evidence-based methods such as cognitive behavioral therapy, dialectical behavior therapy, and acceptance and commitment therapy with attachment-focused and client-centered elements.

Kristin brings a warm, straightforward presence and sometimes uses appropriate humor to ease tension and increase engagement. She supports clients in locating sources of distress, developing new coping strategies, and following through on plans to meet personal goals.

Kristin invites people who are ready to face triggers, try fresh perspectives, and do the focused work that leads to change. She accepts international clients and provides sessions from New York in English, offering multiple communication formats to suit different needs and schedules.

Online Approaches and Flexible Care

Kristin frequently uses cognitive behavioral therapy to help clients examine and change unhelpful thinking patterns and behaviors, which can be useful for anxiety, depression, and challenges with focus and motivation. She also draws on acceptance and commitment therapy to support values-driven action and present-moment strategies that reduce avoidance and increase psychological flexibility. These approaches are explained in simple terms and tailored to the issues each person brings.

Choosing the right approach is part of the work together. Kristin treats the first sessions as an opportunity to learn about a client's goals, preferences, and life context, and from there she collaborates to determine which methods or combination of methods will best support progress. This collaborative stance aims to match technique to need rather than assuming a one-size-fits-all plan.

Online therapy with Kristin is offered through video calls, phone sessions, live chat, or text-based messaging to increase accessibility and scheduling ease. These options let clients maintain continuity of care while balancing work, family, or travel, and they provide flexible ways to engage in skill practice, check-ins, and focused therapeutic work.

Frequently asked questions

What concerns does Kristin commonly address?
She works with a wide range of difficulties including stress, anxiety, depression, ADHD, addictions, trauma and grief, as well as relationship and intimacy-related issues.
How would you describe her therapeutic approach and style?
Her work combines evidence-based therapies like CBT and DBT with acceptance-based and attachment-informed methods, delivered in a collaborative, client-centered manner with an approachable tone.
What kind of experience does she bring to therapy?
Kristin has 14 years of experience helping people identify obstacles, develop coping strategies, and follow through on plans to improve functioning and relationships.
What are her credentials and where is she located?
She is a licensed mental health counselor (LMHC) practicing from New York, registered as NY LMHC 008692.
Can people who live outside the country work with her?
Yes, she accepts international clients and conducts sessions in English to accommodate remote connections across locations.
In what formats are sessions available?
Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to fit different preferences and lifestyles.
How does pricing and payment work for sessions?
Cost varies by location and therapist availability, and sessions are provided through a subscription model that can be canceled at any time.
What is the process for beginning therapy?
Start by selecting the Start Therapy button, complete a brief matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsSelf esteemADHD

Also works with

AddictionsLGBTTrauma and abuseGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderDepressionCoping with life changesCoachingCompassion fatigue

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAvoidant personalityBlended family issuesCaregiver issues and stressChronic pain, illness, and disabilityCommunication problemsControl issuesDependent personalityDivorce and separationFamily problemsFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeVeteran and Armed Forces IssuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyEye Movement Desensitization and Reprocessing (EMDR)Gottman MethodJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

14+ years

Licensed

New York

Languages

English

What Kristin can help with

Kristin Puleo works with clients on stress and anxiety, relationship issues, family conflicts, self esteem, and ADHD.

How Kristin approaches therapy

Kristin's clinical approaches include Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), Existential Therapy, and Eye Movement Desensitization and Reprocessing (EMDR).

Experience and training

Kristin is a Licensed Mental Health Counselor practicing in New York, with 14 years of clinical experience.