About Madeline
Madeline Libretti is a Licensed Clinical Social Worker who focuses on practical, goal-focused therapy. She draws on several proven approaches to help people manage stress, anxiety, depression, relationship struggles, and life transitions. Madeline uses plain language and a collaborative style so conversations stay clear and focused.
She began her clinical work in a New York City hospital system. There she supported adults, women, and teenagers, often working with maternal-child health concerns and families with infants in the NICU.
Background and approach
That early experience included time in pediatrics, general medical units, and the emergency department. For the past two years she has worked in a primary care clinic offering short-term counseling to adults. In that role she supported people coping with chronic medical conditions, new diagnoses, stress, anxiety, and depression.
During the COVID-19 pandemic she provided virtual mental health support and led a virtual support group addressing pandemic-related struggles. Madeline draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Client-Centered Therapy, and the Gottman Method to match tools to each person’s needs. Sessions emphasize clear goals, practical skills, and steady problem-solving.
She aims to help people build habits that fit their lives and values. She practices in Florida and offers sessions in English. Madeline has five years of clinical experience and holds the LCSW credential, FL LCSW SW17969.
If someone wants straight talk, focused skill-building, and a team approach to therapy, she frames sessions around those priorities.
Approaches That Translate Well to Online Care
Acceptance and Commitment Therapy (ACT) helps people clarify their values and commit to small, meaningful actions even when feelings are difficult. It suits people facing transitions, chronic stress, or patterns of avoidance. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with practical experiments and behavioral changes; it often helps with anxiety, depression, sleep, and mood shifts. Dialectical Behavior Therapy (DBT) teaches emotion regulation, distress tolerance, and interpersonal skills in clear, step-by-step ways that can be practiced between sessions.Finding the right approach is part of the work. The therapist will talk with each person about needs, goals, and preferences and then choose methods together. Sessions are collaborative so strategies can be adjusted as goals change and progress is tracked.
Online therapy lets people access these approaches through video calls, phone sessions, live chat, or text-based messaging. Video calls work well for face-to-face conversation and skill practice. Phone sessions are an option when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging provide brief check-ins or written coaching that fit into busy days. These options add flexibility and help therapy fit real-life schedules and constraints.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Family conflicts
- Self esteem
Also works with
- Abandonment
- Addictions
- ADHD
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Eating disorders
- Emptiness
- Family problems
- Fertility issues
- Forgiveness
- Grief
- Guilt and shame
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Midlife crisis
- Money and financial issues
- Narcissism
- Parenting issues
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-love
- Sleeping disorders
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 5 years
- Licensed
- Florida
- Languages
- English