Barbara "Barb" Drotos , LCSW

Barbara "Barb" Drotos is a Licensed Clinical Social Worker (LCSW) practicing in New Hampshire with 15 years of clinical experience. She supports people facing stress, anxiety, depression, trauma and abuse, and challenges related to sexual orientation and gender identity. Her work also includes helping individuals and families affected by developmental and intellectual disabilities, brain injury, autism spectrum conditions, caregiving stress, chronic illness, and grief.

She blends practical strategies with compassionate listening to help clients build coping skills and make steady progress. Using approaches such as attachment-focused work, client-centered methods, and cognitive behavioral techniques, she tailors care to each person’s needs and life circumstances. She emphasizes open communication and strives to create an environment where thoughts and feelings can be expressed without judgment.

Barbara recognizes that beginning therapy often requires courage and acknowledges the importance of that first step. She focuses on collaborating with clients to identify goals, address family of origin issues, manage isolation and loneliness, and navigate transitions like aging, hospice, or adoption-related concerns. Her practice is oriented toward helping people find practical ways to reduce distress and improve daily functioning.

Therapeutic approaches for online care

Barbara "Barb" Drotos often draws on attachment-based therapy to explore how early relationships shape current patterns of relating. This approach helps people understand emotional bonds and improve connection in close relationships, and it can be useful for clients coping with abandonment, family of origin issues, or attachment struggles.

She also uses client-centered therapy, which prioritizes the individual's experience and emphasizes empathic listening and collaboration. That approach supports people who need a nonjudgmental space to process grief, identity questions, or life transitions.

Finally, she incorporates cognitive behavioral therapy (CBT) to identify and shift unhelpful thinking patterns and behaviors. CBT is practical and skill-oriented, and it can help with symptoms of anxiety, depression, and stress.

Finding the right approach is part of the therapeutic process, and Barbara works together with clients to determine which methods fit their needs, goals, and preferences. She tailors interventions and adjusts strategies over time so care stays aligned with each person’s progress.

Online therapy offers flexibility by allowing sessions over video calls, phone, live chat, or text-based messaging. These options make it easier to fit therapy into busy schedules, maintain continuity during life changes, and access licensed professionals from home or other convenient locations.