- Guilt and shame
- Grief and loss
- Attachment issues
About Anne
Anne Guarino is a New York LCSW-R with 25 years in the human services field. She works with adults facing stress, anxiety, relationship and family concerns, grief, and major life changes. Her work also covers issues such as abandonment, attachment, caregiver stress, chronic illness, and guilt and shame.
She uses practical tools alongside conversational exploration. Sessions often include tracking patterns, practicing new ways of communicating, and naming emotions that feel stuck. Anne describes therapy as collaborative and adapts the pace to what each person needs.
Clients can expect straightforward conversation about what’s bothering them and concrete steps to try between sessions. When helpful, she looks at how early relationships influence current feelings. She also focuses on solving immediate problems, such as communication breakdowns or managing overwhelming anxiety.
Anne has experience supporting people through grief, separation, and midlife shifts. She also works with mood struggles, workplace stress, and questions about life purpose. Her longer career includes work with complex stressors like chronic pain and post-traumatic stress.
Her approach blends practical technique with room to notice deeper patterns. That means you might practice new skills in one session and then talk about why old habits keep showing up in the next. The aim is to find what helps with daily functioning and emotional clarity, not to follow a single method.
Evidence-based approaches and online sessions
Anne draws from evidence-based therapeutic techniques that include skill-focused work and deeper relational exploration. One common method focuses on building practical coping skills such as breathing, grounding, and behavioral experiments to reduce anxiety and manage stress. These techniques help when day-to-day symptoms feel overwhelming and you need tools to function better.Another strand of her work looks at attachment and early relationships to understand persistent feelings of abandonment, shame, or patterns in relationships. This approach helps when problems repeat across different relationships or when old hurts shape current reactions.
Deciding which approach to use is a collaborative process. The therapist and client review goals, try a method, and adjust based on what actually helps. That way the plan can shift from short-term problem solving to longer work on recurring patterns as needed.
If you are considering online sessions, confirm the current session formats before booking. Online work can make it easier to fit appointments into a busy week, reduce travel time, and allow for shorter check-ins when schedules require it. Licensed professionals often use online sessions to keep continuity of care and to make regular practice more practical for everyday life.
Areas of expertise
Primary focus
Additional focus areas
Experience
25+ years
Listed in
New York
Languages
English
Frequently asked questions
What concerns does she help with?
She works with stress, anxiety, relationship and family difficulties, grief, life transitions, and related issues such as guilt and shame.
How does she approach therapy?
She uses a mix of practical tools and conversational exploration, adapting methods to the person’s needs and goals.
How much experience does she have?
She has 25 years of experience in the human services field, including work with complex stressors and long-term concerns.
What are her credentials and location?
She holds the New York LCSW-R credential and sees clients from New York.
Does she offer sessions in other languages?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How are sessions priced?
Cost varies with location; sessions use a subscription that can be canceled at any time.
What is the process to begin?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.