- CBT techniques
- ACT work
- DBT skills
About Madeline
Madeline Libretti is a Licensed Clinical Social Worker (LCSW) licensed in Florida with five years of clinical experience. She works with adults facing stress, anxiety, depression, relationship struggles, grief, and issues around self-esteem and identity. Her practice includes concerns such as parenting strain, addiction, trauma, and guilt and shame.
Madeline draws on several therapy approaches to keep sessions practical and focused. She uses Cognitive Behavioral Therapy to help people notice and shift unhelpful thinking patterns. Acceptance and Commitment Therapy is part of her work when clients want to clarify values and take steps toward meaningful action despite difficult feelings.
Her background includes hospital work in maternal-child health, where she supported pregnant and post-partum women and families with infants in neonatal care. She also provided counseling in pediatrics, general medical units, and emergency settings earlier in her career. For the past two years she has worked in a primary care clinic offering short-term counseling to adults managing medical issues alongside mood and anxiety symptoms.
Madeline favors a collaborative, goal-oriented, client-centered style. Sessions aim to teach concrete coping skills, problem-solving strategies, and behavioral tools that clients can use between appointments. She often combines elements from CBT, DBT skills, and solution-focused techniques to create practical steps.
Her virtual work began during the COVID-19 pandemic, including offering mental health support groups and individual counseling to adults. Sessions are conducted in English and follow the licensing rules for Florida LCSW clinicians.
How therapeutic approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without getting stuck in them, then choose actions that reflect what matters most. Online, ACT can help with guilt and shame by creating small, values-based steps to try between sessions.Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thought patterns and testing them with real-life experiments. In virtual sessions, CBT often includes brief homework exercises, thought records, and skill practice that can be reviewed together on screen or by phone.
Finding the right approach is part of the work. The therapist will discuss goals, preferences, and what has or hasn't helped in the past. Together the client and therapist decide which methods to emphasize and adjust those methods over time.
Madeline has provided virtual individual counseling and hosted virtual support groups; confirm the current session options before booking. Online sessions can make it easier to fit counseling into a busy schedule, allow shorter check-ins when needed, and remove travel time. Some formats use less bandwidth or do not require a camera, which can help when attention, energy, or time are limited. Ask about session length and format when scheduling to find the best practical fit.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
5+ years
Listed in
Florida
Languages
English
Frequently asked questions
What concerns does she address?
She helps adults with stress, anxiety, depression, grief, relationship and intimacy issues, and concerns like guilt and shame.
How does she approach shame and guilt in sessions?
She uses a collaborative, client-centered, and goal-focused approach. Techniques often include Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to name and shift patterns.
What is her professional background?
She has five years of clinical experience and has worked in hospital maternal-child settings and a primary care clinic providing short-term counseling to adults.
What credentials and location apply to her practice?
She is a Licensed Clinical Social Worker, FL LCSW, practicing in Florida.
Do sessions happen in other languages or internationally?
Sessions are offered in English. She does not accept international clients.
What session formats are used?
Her biography mentions providing virtual individual counseling and virtual support groups since the COVID-19 pandemic. Confirm current session options before booking.
How are costs handled?
Cost varies with location, and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and 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.