About Lorraine
Lorraine Asti is a licensed clinical social worker who brings practical, goal-focused therapy to people feeling overwhelmed by stress, anxiety, or life changes. She uses clear, down-to-earth language and aims to help clients notice patterns and try new ways of coping. Lorraine practices from New York and offers multiple online session formats to fit different schedules.
With eight years of experience as an LCSW, she draws on several evidence-based approaches.
Background and approach
She helps people manage mood shifts, addiction concerns, grief, and trauma-related symptoms. She also supports those dealing with relationship difficulties, self-esteem problems, parenting strain, career stress, and attention-related challenges. Her work blends cognitive techniques that change unhelpful thinking with skills-based strategies for managing strong emotions.
Attachment-focused ideas are used to look at how early bonds shape current reactions. Client-centered habits shape sessions so the person’s goals guide what happens each week. Sessions commonly include skill coaching, behavior experiments, and problem-solving steps to handle day-to-day demands.
Lorraine also uses mindfulness exercises and acceptance strategies to reduce struggle with difficult thoughts and feelings. Progress is tracked in simple, concrete ways so people can see what’s changing. People meet Lorraine for video calls, phone sessions, live chat, or text-based messaging depending on what fits their routine best.
New clients begin by completing a short matching questionnaire and scheduling a first session based on availability.
Therapeutic approaches adapted for online care
Acceptance and Commitment Therapy helps people notice difficult thoughts and choose actions that match their values. It focuses on increasing willingness to feel hard emotions while moving toward meaningful goals, which can help with anxiety, depression, and life transitions. Cognitive Behavioral Therapy targets unhelpful thinking and teaches practical behavior changes and coping skills to reduce symptoms of mood and anxiety disorders, addictions, and sleep or eating issues.Finding the right approach is part of the work. Lorraine will discuss goals and preferences and then try techniques that fit the person’s needs. She aims to collaborate on a clear plan and adjust methods over time based on how well they help reach those goals.
Online sessions are offered by video calls, phone sessions, live chat, and text-based messaging to make therapy more flexible. Video works well for in-depth conversations and guided exercises, while phone sessions can be easier when bandwidth is limited or a camera isn’t preferred. Live chat and text messaging are useful for brief check-ins, homework guidance, or when a shorter touchpoint fits someone’s day. These options let people fit therapy around work, caregiving, or travel while keeping regular contact with a licensed professional.
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Specialties and expertise
Top specialties
Also works with
- Abandonment
- ADHD
- Anger management
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hoarding
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 8 years
- Licensed
- New York
- Languages
- English