- Client-centered approach
- CBT and DBT skills
- Mindfulness and narrative
About Genevieve
Genevieve (Genny) Gravina is a New York LMHC with six years of clinical experience. She works with stress, anxiety, depression, relationship concerns, and issues tied to self-esteem and identity, including guilt and shame. Genny also supports people coping with life changes, parenting strain, sleep and eating concerns, and attention-related struggles.
Genny uses client-centered work to build a steady working relationship. She mixes Cognitive Behavioral Therapy and Dialectical Behavior Therapy skills with mindfulness to help people notice patterns and try different steps. Sessions focus on practical strategies and short-term skills alongside time to tell your story.
She pays attention to attachment and communication patterns that often shape ongoing shame or guilt. That can mean looking at how family history or personal values feed self-blame, and testing small shifts in thinking and behavior. Genny includes narrative elements to help people reframe self-critical stories.
In session she offers concrete tools for mood regulation and relationship moments. That can include behavioral experiments, thought-challenging, grounding practices, and DBT-style emotion regulation skills. The aim is to create manageable steps rather than overwhelming change.
Genny works in English and practices in New York. Her LMHC credential reflects clinical training and supervised practice. People interested in scheduling start by completing a short matching questionnaire and booking an initial session through the site's process.
How her approaches translate to online sessions
Client-Centered Therapy focuses on listening and building a collaborative relationship. The therapist follows the client's concerns and supports decisions rather than directing them. This approach helps people who carry guilt or shame feel heard and make practical choices.Cognitive Behavioral Therapy (CBT) teaches how thoughts, feelings, and actions connect. It uses short experiments, thought records, and behavior changes to test unhelpful beliefs. CBT can be useful for anxiety, low mood, and self-critical thinking patterns.
Dialectical Behavior Therapy (DBT) offers concrete emotion regulation, distress tolerance, and interpersonal skills. These skills are especially helpful when strong emotions or impulsive reactions increase shame or relational strain.
Finding the best fit is collaborative. The therapist will talk with the client about goals, preferences, and what feels manageable, and then suggest which combination of approaches to try. That plan can change as progress and needs evolve.
Confirm which session formats are offered before booking, as the biography does not list them. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, or remove travel time. Therapists and licensed professionals can adapt CBT and DBT exercises for remote sessions, including guided practice, worksheets, and mindfulness prompts to use between appointments.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
6+ years
Listed in
New York
Languages
English
Frequently asked questions
What kinds of problems does she work with?
She works with stress, anxiety, depression, relationship and self-esteem concerns, plus guilt and shame among other focus areas.
How would she approach feelings of shame or guilt?
She combines client-centered conversation with CBT and DBT skills, using mindfulness and narrative techniques to notice patterns and reframe self-critical stories.
What is her clinical background?
Genny has six years of clinical experience and brings a blend of practical skills and reflective work to sessions.
What credential does she hold and where does she practice?
She is a New York Licensed Mental Health Counselor, listed as NY LMHC, and practices in New York.
Does she offer sessions in other languages or to international clients?
Sessions are offered in English and she does not accept international clients at this time.
What session formats are available?
Confirm current session options before booking, as the biography does not specify which formats are offered.
How does payment and cost work?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule your first session through the site.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.