Anna Marasco , LCSW

Anna Marasco is a Licensed Clinical Social Worker (LCSW) with 11 years of experience specializing in trauma, dual diagnosis, and addiction treatment. She approaches therapy from a humanistic, client-centered perspective, treating behaviors such as substance use, self-harm, and emotional dysregulation as learned survival strategies rather than fixed identity traits. Anna frames the therapeutic relationship as one of acceptance and curiosity, inviting both the difficult, hidden parts of experience and the strengths and joys clients bring to sessions.

Her clinical experience spans PTSD, complicated grief and loss, gender identity concerns, anxiety, depression, ADD/ADHD, suicidality, autism, personality disorders, OCD, relationship challenges, and life transitions. She emphasizes layered, individualized case conceptualization and adapts techniques to meet each person where they are instead of prescribing simplistic coping tricks. Her role is to advocate and support - offering guidance and steady presence while clients do the work of change.

Outside of clinical work, Anna holds a Master of Fine Arts in creative writing and is an avid equestrian who spends time with her horse, Henry. Anna is not accepting new clients at this time and does not work with international clients.

Therapeutic approaches and online care

Anna integrates several approaches to address trauma, relationships, and coping patterns. Client-centered therapy emphasizes empathy and collaboration, helping clients set their own goals while feeling heard and respected - it is useful for building trust, exploring identity, and navigating life transitions. Attachment-based therapy focuses on understanding early relational patterns and how they shape current relationships and emotional responses - it can help with attachment issues, abandonment concerns, and interpersonal difficulties. Cognitive Behavioral Therapy (CBT) offers practical tools to identify and shift unhelpful thoughts and behaviors, which can be effective for anxiety, depression, and some stress-related problems.

Finding the right combination of approaches is part of the therapeutic journey. Anna works collaboratively with clients to determine which methods best match their needs, goals, and preferences, adjusting the plan as progress unfolds. This collaborative stance helps clients feel involved and empowered in treatment.

Online therapy offers flexible ways to engage - through video calls, phone sessions, live chat, or text-based messaging - so clients can access care that fits their schedule and comfort level. These options make it easier to maintain consistency in treatment, adapt sessions to different life demands, and continue momentum between in-person commitments while working with licensed professionals and therapists.