Anna Marasco , LCSW

Anna Marasco is a Licensed Clinical Social Worker (LCSW) with 11 years of experience specializing in trauma, dual diagnosis, and addiction. As a clinician she combines a humanistic, client-centered stance with practical clinical tools, helping people reframe behaviors and coping strategies - including substance use, self-harm, and emotion dysregulation - as learned survival skills rather than fixed identities. She operates from the core belief that people are doing their best in the moment, and she creates space for the messy, painful, and hidden parts of experience alongside moments of joy and growth.

Her practice addresses a wide range of concerns, including PTSD, complicated grief and loss, anxiety, depression, attention differences, suicidality, autism spectrum concerns, personality disorders, obsessive-compulsive concerns, relationship struggles, and life transitions. She adapts therapeutic methods to the layered nature of each person rather than relying on one-size-fits-all techniques, drawing from approaches such as Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and EMDR when appropriate.

Outside of clinical work she holds a Master of Fine Arts in creative writing, and she is an avid equestrian who often cites her horse, Henry, as a beloved companion. She frames her role as advocate and support - like inflatable gutter bumpers at the bowling alley - helping clients steer toward their goals while believing in their capacity to do the work. She encourages people to acknowledge the courage it takes to seek help and to give themselves credit for beginning the healing process.

Therapeutic approaches and online care that meet you where you are

Client-Centered Therapy emphasizes a respectful, nonjudgmental stance in which the therapist follows the client's lead, offering empathy and understanding while supporting the client to define goals and make changes. This approach can be helpful for people navigating life transitions, identity questions, and the emotional fallout of stress and loss.

Attachment-Based Therapy explores how early relationships shape current patterns of connection and emotion regulation. It can be especially useful for people struggling with abandonment, relationship difficulties, or trauma-related attachment concerns, helping clients build more secure ways of relating.

Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thinking and behavior that contribute to distress and developing practical strategies to change them. CBT is often used for anxiety, depression, and stress-related problems and pairs well with other methods when a structured, skills-based approach is helpful.

Finding the right approach is a collaborative process. Anna Marasco works with each person to determine which methods best fit their needs, goals, and preferences, and she adjusts the plan as progress unfolds. Online therapy offers practical flexibility - sessions by video, phone, live chat, or text-based messaging allow people to engage from different locations and schedules, making it easier to maintain continuity of care and access support when it is needed.