- Guilt and shame
- Compassion fatigue
- Smoking cessation
About Gilda
Gilda Axelrod is a Licensed Clinical Social Worker - Reproductive (LCSW-R) licensed in New York with 26 years of professional experience. She works with adults facing relationship problems, grief and loss, low self-esteem, and life transitions. Her stated focus also includes compassion fatigue and substance and alcohol concerns.
Gilda uses straightforward conversation to identify what matters most to each person. She listens for the patterns that keep someone stuck, then suggests concrete steps to change those patterns. Sessions emphasize clear goals and practical coping strategies rather than abstract theory.
Her background includes long-term work supporting people through grief and major life changes. She has experience with smoking and vaping cessation, codependency, and relapse concerns tied to substance use. Gilda also addresses caregiver stress and aging-related worries in her practice.
People meeting with her can expect direct discussion about communication problems, forgiveness, and feelings such as guilt and shame. She helps clients break down large problems into manageable decisions and small actions they can try between sessions.
Gilda tailors the pace of work to each person’s tolerance for change. She describes therapy as a collaborative effort where the client’s goals guide session priorities. Practical tools, skill-building, and steady check-ins are central to her approach.
How evidence-based methods translate to online sessions
Many evidence-based techniques focus on changing unhelpful thoughts and behaviors. Cognitive-style approaches teach people to notice critical self-talk and test those thoughts against real evidence, which can reduce persistent guilt and shame. Behavioral strategies break larger goals into small actions, such as brief experiments or changes in routine, useful for coping with grief, smoking cessation, and life transitions.Other structured methods emphasize building skills in communication and stress management. These approaches teach straightforward tools for clearer conversations and for managing compassion fatigue and caregiver strain. They tend to use step-by-step practice and short between-session assignments to reinforce new habits.
Finding the best approach is collaborative. The therapist will work with each person to identify goals, try techniques, and adjust the plan based on what helps. That means starting with a few practical tools and shifting focus if different methods feel more useful.
The biography does not specify which session formats are offered, so confirm current options before booking. Many people find online sessions make it easier to fit therapy into work or family schedules, allow for shorter check-ins when needed, or avoid travel time. Online work can also let someone use audio-only exchanges when bandwidth is limited or schedule sessions during a midday break.
Areas of expertise
Primary focus
Additional focus areas
Experience
26+ years
Listed in
New York
Languages
English
Frequently asked questions
What kinds of problems does she focus on?
She works with relationship difficulties, grief and loss, low self-esteem, coping with life changes, and compassion fatigue, among other concerns.
How does she approach feelings of guilt or shame?
She speaks plainly about patterns that keep guilt and shame active and helps clients try concrete steps to shift those patterns over time.
What is her professional background?
She has 26 years of clinical experience, including work with substance and alcohol issues, codependency, and caregiver stress.
Which credentials and region apply to her practice?
She is an LCSW-R licensed in New York and practices with that credential in that state.
Can I work with her if I live outside the US?
Sessions are offered in English and she is not accepting international clients at this time.
What session formats are offered?
The original biography does not list specific session formats; please confirm current session options before booking.
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 the process?
Select the See online therapy options button, complete the short matching questionnaire, and then schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.