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LCSW-R

Mary Alfinito, LCSW-R

  • Experience40 years
  • LocationNew York
  • Focus areasADHD, Stress and Anxiety, and LGBT
  • Therapy approachesCognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT)
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Check the available next steps for working with Mary online.

About Mary

Mary Alfinito is a licensed clinical social worker (LCSW-R) based in New York with four decades of professional experience. She supports people facing stress, anxiety, grief, depression, ADHD, trauma and abuse, and concerns related to LGBT identity, helping them navigate life transitions and build practical coping skills.

Background and approach

Her work also addresses self-esteem, career challenges, and coaching needs, along with a range of related issues such as attachment and abandonment, chronic illness and pain, and communication difficulties. Her practice blends evidence-based strategies with an empathetic, nonjudgmental stance.

Mary uses techniques drawn from Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and Trauma-Focused Therapy to help clients identify unhelpful patterns, regulate emotions, and process painful experiences. She welcomes clients across the lifespan and emphasizes collaboration in setting goals and selecting interventions that match each person’s situation.

Mary offers multiple session formats to fit different schedules and preferences, and she encourages those taking the first step toward change. Her approach is practical and grounded in long experience, aimed at helping people regain balance, clarity, and forward momentum in their lives.

Approaches for Remote Care and Practical Skills

Mary draws on Cognitive Behavioral Therapy and Trauma-Focused Therapy to guide her online work. CBT involves identifying unhelpful thoughts and testing new behaviors to reduce anxiety, depression, and stress-related patterns. Trauma-Focused Therapy helps process painful memories and their emotional impact, offering strategies to decrease distress and improve daily functioning.

Choosing the right approach is treated as a collaborative process. She discusses goals, preferences, and presenting concerns with each client to determine which methods to emphasize, and she adjusts techniques over time based on what is most helpful for the person’s needs.

Online formats include video calls, phone sessions, live chat, and text-based messaging, which provide flexibility for different schedules and comfort levels. These options make it easier to maintain continuity of care, fit sessions into busy lives, and access therapeutic support from home or another convenient location.

Frequently asked questions

What concerns does Mary commonly address?
She works with stress, anxiety, grief, depression, ADHD, trauma and abuse, LGBT-related issues, self-esteem, career concerns, and coping with life changes among other areas.
What is her general therapeutic style?
Her style is collaborative and nonjudgmental, focusing on practical skills and emotional processing to help clients meet their goals.
How much clinical experience does she have?
She brings 40 years of professional experience working with people across the lifespan in a variety of settings.
What credentials and location are listed?
She is licensed as LCSW-R in New York with license number NY LCSW-R 032697 and practices from New York.
Does she offer services in other languages or accept international clients?
Sessions are offered in English and she is not currently accepting international clients.
Which session formats are available with her?
She provides video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences.
How are costs and subscriptions handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working with her?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyLGBTGriefDepressionADHD

Also works with

Trauma and abuseSelf esteemCareer difficultiesCoping with life changesCoaching

Additional focus areas

AbandonmentAttachment issuesAutism and Asperger SyndromeBody imageCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommunication problemsControl issuesDivorce and separationEmptinessFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSImpulsivityIntellectual disabilityIsolation / lonelinessLife purposeMidlife crisisMoney and financial issuesMood disordersObsessions, compulsions, and OCDPanic disorder and panic attacksPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-loveSexualitySocial anxiety and phobiaWomen's issuesWorkplace issues

Therapeutic approaches

Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Trauma-Focused Therapy

Experience

40+ years

Licensed

New York

Languages

English