Barbara Segreto , LCSW-R

Barbara Segreto is a Licensed Clinical Social Worker in New York with 38 years of professional experience. She holds a master’s degree in social work from New York University and maintains the LCSW-R credential, identifying her as a licensed clinical social worker in the state of New York.

Her training and long career have prepared her to work with a wide range of mental health concerns. She has helped adults manage conditions such as depression, anxiety, panic disorder, schizophrenia, bipolar disorder, Tourette’s syndrome, and obsessive-compulsive disorder, and she brings specialized skills for addressing eating disorders and geriatric issues.

Segreto’s experience spans inpatient, emergency, and outpatient settings. Throughout her career she has worked with hospitals and community agencies, including Jacobi Hospital in the Bronx, the Visiting Nurse Service of New York in the Bronx, St. Peter’s Health Partners in Albany, the Eddy Visiting Nurse Association in Troy, and the Unity House Domestic Violence Program in Troy. She has also maintained a private practice for more than 20 years.

She approaches each person with respect and develops treatment plans tailored to individual circumstances. Segreto acknowledges the courage it takes to seek therapy and values the effort clients make toward change.

Evidence-based approaches delivered remotely

Barbara Segreto draws on evidence-based therapeutic techniques that focus on changing unhelpful patterns of thinking and behavior and on building practical coping skills. One common approach she uses targets thoughts and behaviors to reduce symptoms of depression, anxiety, and compulsive behaviors by helping clients identify patterns, test assumptions, and develop healthier responses.

Another set of techniques emphasizes skills for emotional regulation, stress management, and relapse prevention, which can be especially helpful for challenges such as addictions, bipolar disorder, eating difficulties, and caregiving stress. These methods teach strategies clients can apply in daily life to manage mood shifts, cravings, and intense emotions.

Finding the right therapeutic approach is part of the work together. Segreto approaches treatment collaboratively, tailoring techniques to each person’s needs, goals, and preferences and adjusting the plan as progress is made.

Online therapy offers flexible access to care through video calls, phone sessions, live chat, or text-based messaging. This flexibility can make it easier to fit sessions into busy schedules, maintain continuity of care across locations, and use brief check-ins between sessions to reinforce skills and support ongoing progress.