Lorraine Asti , LCSW

Lorraine Asti is a Licensed Clinical Social Worker (LCSW) practicing in New York with eight years of clinical experience delivering individual, couples and family, and group psychotherapy. She has supported people across the lifespan, working with ages seven and up, and has experience addressing a wide range of concerns including depression, anxiety, substance use, trauma and PTSD, anger, personality and mood disorders, and obsessive-compulsive and hoarding behaviors.

Her practice focuses on stress, addictions, trauma and abuse, relationship and family difficulties, grief and intimacy-related issues, eating and sleeping problems, parenting and career concerns, attention challenges, coping with life changes, and compassion fatigue among caregivers. Additional areas of attention include attachment and abandonment issues, communication and control problems, codependency, blended family dynamics, chronic illness and pain, and body image and self-esteem struggles.

She integrates evidence-based methods such as Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Attachment-Based Therapy, and Client-Centered Therapy, tailoring treatment to each person’s needs and goals. As a LCSW - a social work license for clinical practice - she combines clinical training with a collaborative, compassionate approach to help clients build practical skills and find greater balance in their lives.

Therapeutic Approaches and Online Care

Acceptance and Commitment Therapy (ACT) helps clients clarify what matters most and build psychological flexibility by combining mindfulness and values-based action. It is useful for stress, anxiety, mood concerns, and coping with life changes.

Attachment-Based Therapy explores how early relationships shape current patterns in intimacy and trust, helping people repair relational wounds and improve family and couple dynamics. It is often applied to relationship struggles, abandonment concerns, and attachment issues.

Client-Centered Therapy emphasizes a respectful, nonjudgmental therapeutic relationship in which the therapist offers empathy and unconditional positive regard to support self-discovery and personal growth. This approach can be helpful for self-esteem, grief, and navigating identity or life transitions.

Choosing the right approach is a collaborative process. The therapist works with each person to assess needs, goals, and preferences and will adapt methods over time to find the best fit. Online therapy offers practical flexibility - sessions can take place via video calls, phone, live chat, or text-based messaging - making it easier to fit care into busy schedules, maintain continuity during transitions, and access licensed professionals from different locations.