- Sleep and rest focus
- Practical steps
- Experienced clinician
About Barbara
Barbara Segreto is a licensed clinical social worker (LCSW-R) in New York with decades of hands-on experience. She helps people who are worried about sleep, mood, anxiety, grief, relationships, substance use, and life transitions. Barbara aims to offer straightforward care that meets each person where they are.
She uses practical, evidence-based techniques shaped by nearly four decades in the field. Her background includes work in inpatient, emergency, and outpatient settings, plus more than 20 years in private practice. That mix gives her experience with both short-term crises and longer-term concerns.
Barbara has worked in hospitals and community agencies across New York, including roles with visiting nurse services and domestic violence programs. She also brings focused experience with aging and geriatric issues, eating concerns, and complex medical and caregiving situations. These roles inform a flexible, problem-solving approach.
In sessions she builds a plan tailored to the person’s day-to-day life and goals. She listens for what is most urgent and then helps people try practical steps to improve sleep, manage stress, and strengthen coping skills. Work can include talk, problem solving, and homework you can try between visits.
She welcomes international clients who can work in English. To start, clients complete a short matching questionnaire and then schedule according to the therapist’s availability. Fees vary by location and use a subscription that can be canceled at any time.
How therapeutic approaches translate to online care
Barbara uses evidence-based therapeutic techniques that focus on practical change. One common approach is behavioral work that targets daily habits and routines, including sleep hygiene and activity scheduling; this helps when sleep is fragmented or when mood and energy need structure. Another frequent element is skills-based problem solving that breaks down worries into manageable steps and teaches coping strategies for anxiety, stress, and mood swings.Finding the right mix of techniques is part of the work. The therapist collaborates with each person to identify goals, try approaches, and adjust what isn’t helping. This makes sessions more focused and tailored to the client’s needs and preferences.
The goal of online therapy is to fit care into everyday life. Confirm which session formats are available before booking since the profile doesn’t list specific options. Many people appreciate online work because it can make scheduling easier, allow shorter check-ins on busy days, or reduce travel time. It also makes it easier to use the therapist’s guidance while trying new sleep routines or coping skills in real time.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Experience
38+ years
Credentials
New York
Languages
English
Frequently asked questions
What kinds of concerns does this therapist address?
Barbara works with a wide range of issues including sleep difficulties, anxiety, depression, addictions, grief, trauma, relationship and intimacy issues, parenting stress, and chronic health or caregiving concerns.
How would you describe the therapy style here?
Sessions emphasize practical, evidence-based techniques and problem solving. The focus is on clear steps clients can try between meetings to improve sleep, mood, and daily coping.
What is Barbara's professional background?
She has 38 years of professional experience that include inpatient, emergency, and outpatient roles as well as over 20 years in private practice.
What credentials and location are listed for this therapist?
She is listed as LCSW-R in New York and practices from that region.
Can international clients work with this therapist?
Yes, international clients are accepted and sessions are offered in English.
Which session formats are offered?
The original profile does not specify session formats; please confirm current session options before booking.
How are fees handled for therapy?
Fees vary by location and therapist availability, and sessions use a subscription that can be canceled at any time.
How do I begin working with this therapist?
Select the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.