Madeline Libretti , LCSW

Madeline Libretti is a Licensed Clinical Social Worker (LCSW) with five years of hands-on experience supporting adults, families, women, and teenagers. She holds a Master of Social Work from New York University and a master’s degree in Experimental Psychology from St. John’s University, and she has combined her clinical training with direct service in medical and community settings.

Early in her career she worked within a New York City hospital system, primarily in the Maternal Child Health department, offering therapeutic support to pregnant and postpartum women, families with infants in the NICU, and related pediatric and medical units, including the emergency department. For the past two years she has provided short-term counseling in a primary care clinic, working with adults facing stress, depression, anxiety, chronic medical conditions, and new medical diagnoses. During the COVID-19 pandemic she expanded her practice to include virtual counseling and led a virtual support group addressing pandemic-related challenges.

Her approach is collaborative, goal-oriented, and client-centered, with an emphasis on practical tools and coping skills. She draws on Cognitive Behavioral Therapy, Solution-Focused Therapy, and Problem-Solving Therapy to meet clients where they are and help them build healthier habits and routines. Madeline emphasizes a team-oriented model of care, supporting clients through vulnerability toward measurable goals and greater confidence in their abilities.

Approaches That Translate Well to Online Care

Madeline Libretti draws from several evidence-informed approaches that adapt effectively to virtual work. Acceptance and Commitment Therapy (ACT) helps people clarify what matters most to them and build action aligned with their values - it can be useful for stress, anxiety, and life transitions. Client-Centered Therapy focuses on empathic listening and building a strong therapeutic relationship so clients feel heard and respected while they explore challenges and goals. Cognitive Behavioral Therapy (CBT) teaches practical skills to identify and change unhelpful thinking and behavior patterns, making it a common choice for anxiety, depression, and coping with medical conditions.

Choosing the right approach is part of the therapeutic process, and Madeline works collaboratively with each person to identify which methods fit their needs, goals, and preferences. She tailors tools and strategies over time, adjusting the plan as clients make progress.

Online therapy offers flexibility and accessibility through video calls, phone sessions, live chat, or text-based messaging. These options make it easier to fit counseling into busy schedules, maintain continuity of care during life changes, and access support from familiar settings while working toward meaningful goals with a licensed professional.