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LCSW

Lorraine Asti, LCSW

  • Experience8 years
  • LocationNew York
  • Focus areasADHD, Stress and Anxiety, and Addictions
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Attachment-Based Therapy
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About Lorraine

Lorraine Asti is a licensed clinical social worker (LCSW) based in New York who blends evidence-based practices to help clients manage stress, mood symptoms, and relationship challenges.

Background and approach

With eight years of professional experience, she draws from cognitive behavioral strategies alongside acceptance- and mindfulness-oriented approaches to create practical skills for coping, emotion regulation, and behavior change.

Her work addresses a broad range of concerns including anxiety, depression, addictions, trauma and abuse, grief, self-esteem, and ADHD, as well as related areas such as attachment issues, communication problems, body image, and chronic pain or illness.

Lorraine adapts therapeutic tools from Attachment-Based Therapy, Dialectical Behavior Therapy (DBT), and Acceptance and Commitment Therapy (ACT) to fit each person’s needs, focusing on values, present-moment awareness, and building healthier patterns. She offers multiple online session formats - video calls, phone sessions, live chat, and text messaging - and communicates in English.

Lorraine accepts clients through a subscription model that can be canceled at any time and does not currently take international clients.

Integrating therapeutic approaches for online care

Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking committed action while learning to accept difficult thoughts and feelings; it can help people move toward meaningful life goals even when emotions are uncomfortable. Cognitive Behavioral Therapy (CBT) teaches skills to identify and change unhelpful thought and behavior patterns, often providing concrete tools for anxiety, depression, and managing stress. Dialectical Behavior Therapy (DBT) emphasizes emotion regulation, distress tolerance, and interpersonal effectiveness skills to reduce reactive behaviors and improve relationships.

Choosing the most helpful approach is a collaborative process. The therapist will work with each person to explore goals, preferences, and what has or hasn’t helped in the past, then tailor methods and exercises to fit those needs rather than using a one-size-fits-all plan.

Online sessions are offered through video calls, phone appointments, live chat, and text messaging to increase flexibility and access. These formats allow therapy to fit around work, caregiving, or mobility constraints and make it possible to practice skills between sessions in real-world moments, supporting steady progress over time.

Frequently asked questions

What kinds of concerns does Lorraine address?
She works with a wide range of concerns including stress, anxiety, addictions, trauma and abuse, anger, depression, ADHD, and relationship or intimacy-related issues.
What is her therapeutic style like?
The approach combines acceptance-based and cognitive-behavioral elements with mindfulness and DBT skills, emphasizing practical tools and values-guided choices to support change.
What level of clinical experience does she have?
The therapist has eight years of professional experience delivering psychotherapy across multiple presenting problems.
What credentials and location are listed?
She holds an LCSW credential with NY LCSW 088850 and is located in New York.
In which languages is therapy offered and can international clients join?
Services are offered in English, and she is not currently accepting international clients.
Which session formats are available for online work?
Sessions can take place via video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences.
How are costs and payments handled?
Fees vary with location and therapist availability, and sessions are provided through a subscription that can be canceled at any time.
What is the first step to begin therapy?
To get started, select the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist’s availability.

Areas of expertise

Primary focus

Stress, AnxietyAddictionsTrauma and abuseAnger managementDepression

Also works with

LGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAntisocial personalityAttachment issuesAutism and Asperger SyndromeAvoidant personalityBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesDependent personalityDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesForgivenessGender dysphoriaGuilt and shameHoardingImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPost-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Self-harmSelf-loveSexual assault and abuseSexualitySmoking / vaping cessationSocial anxiety and phobiaTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

8+ years

Licensed

New York

Languages

English

What Lorraine can help with

Lorraine Asti works with clients on stress and anxiety, addictions, trauma and abuse, anger management, and depression.

Lorraine works with clients who experience a wide range of concerns including depression, anxiety, relationship issues, substance abuse, trauma/PTSD, anger, personality disorders, mood disorders and OCD/hoarding issues.

How Lorraine approaches therapy

Lorraine's clinical approaches include Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Mindfulness Therapy, Motivational Interviewing, and Psychodynamic Therapy.

Experience and training

Lorraine is a Licensed Clinical Social Worker practicing in New York.