About Mary
Mary Fiumara offers steady, practical support for people feeling overwhelmed by anxiety, depression, stress, or struggles with eating and self-esteem. She meets clients where they are and helps them talk through the next steps in their lives. With forty years of experience as a licensed clinical social worker (LCSW) in California, Mary uses straightforward talk and clear strategies.
Sessions focus on identifying unhelpful thinking patterns, improving communication, and restoring confidence.
Background and approach
She pays attention to body image concerns and the emotional effects of guilt, shame, and isolation. Mary often helps clients who are navigating midlife changes or finding their footing as young adults. She also supports people facing social anxiety and phobias, and those wrestling with women's issues in daily life.
Her style blends practical coping skills with thoughtful reflection so clients can make steady progress. In the therapy room she listens carefully, asks clear questions, and helps clients try small changes between sessions. Conversations are collaborative and paced to each person’s needs.
The aim is to build realistic coping tools and clearer self-understanding. Over many years Mary has developed a calm, patient approach that suits people who want practical help and steady support. She encourages clients to set achievable goals and track small wins as they work toward greater emotional balance.
Evidence-based techniques adapted for online care
Mary uses evidence-based therapeutic techniques that help people change unhelpful thinking and build practical coping skills. One approach focuses on identifying and challenging thinking errors to reduce anxiety and low mood; it helps people notice automatic negative thoughts and test them against reality. Another approach emphasizes communication skills and behavioral changes to relieve social anxiety and relationship tension; it teaches small, doable steps to improve interactions and ease isolation.Finding the right approach is a collaborative process. Mary will work with each person to pick methods that match their goals, comfort level, and daily routine. She adjusts pace and tools as progress is made so therapy stays practical and relevant.
Online sessions offer flexibility for busy lives. Video calls allow face-to-face conversation when visual cues help the work. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging provide shorter check-ins and ongoing support between longer sessions. These options make it simpler to fit therapy around work, school, and family commitments while keeping focus on real-world changes.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Eating disorders
- Self esteem
Also works with
- Experience
- 40 years
- Licensed
- California
- Languages
- English