Anna Marasco , LCSW

Anna Marasco is a Licensed Clinical Social Worker (LCSW) with 11 years of experience supporting people affected by trauma, addiction, and dual diagnosis. She practices from a humanistic, client-centered perspective that emphasizes understanding each person’s story and recognizing behaviors like substance use, self-harm, or emotional dysregulation as learned survival strategies rather than defining traits. Anna approaches sessions with curiosity and compassion, assuming clients are trying their best even when they arrive feeling overwhelmed or guarded.

She invites the full range of a person’s experience into therapy - the messy, difficult parts alongside moments of joy and strength - and encourages a balanced view of both light and shadow. Her clinical experience covers a wide range of concerns including PTSD, complicated grief and loss, gender identity, anxiety, depression, ADD/ADHD, suicidality, autism, addictions, personality disorders, OCD, relationship challenges, life transitions, and questions of meaning and purpose. Rather than offering only rote coping tips, she tailors interventions to the individual, adapting methods to meet each client where they are.

Anna sees her role as advocate and support, helping clients build the skills and confidence to reach goals they identify for themselves. Outside of clinical work she holds a Master of Fine Arts in creative writing and is an avid equestrian who often spends free time with her horse, Henry. She encourages those seeking help to acknowledge the hard work they are already doing by taking the first step toward therapy.

Therapeutic Approaches and Online Care

Anna draws on attachment-based, client-centered, and cognitive behavioral approaches to tailor therapy to each person's needs. Attachment-Based Therapy looks at how early relationships shape current patterns of connection and trust, helping clients address attachment wounds and improve interpersonal functioning. Client-Centered Therapy emphasizes empathic listening and collaboration, giving clients a space to explore their experience and find their own direction rather than following a prescriptive plan. Cognitive Behavioral Therapy (CBT) identifies unhelpful thought and behavior patterns and offers practical skills to reduce symptoms of anxiety, depression, and other concerns.

Choosing the right approach is part of the therapeutic journey, and Anna works collaboratively with clients to determine what fits their goals, preferences, and life context. She adapts techniques over time, combining elements that best support progress and resilience.

Online therapy with Anna is offered through video calls, phone sessions, live chat, or text-based messaging, providing flexibility for different schedules and comfort levels. These options make it easier to access consistent support from licensed professionals without needing to travel, and they allow clients to continue work on coping strategies and personal growth in ways that fit their daily lives.