Madeline Libretti , LCSW

Madeline Libretti is a Licensed Clinical Social Worker (LCSW), a credential indicating professional training to provide clinical social work and therapeutic services, and she brings about five years of hands-on experience working with diverse populations and concerns. She earned a Master of Social Work from New York University in 2014 and holds a Master’s in Experimental Psychology from St. John’s University.

Early in her career she worked within a New York City hospital system providing mental health support to adults, families, women, and teenagers. Much of that work was in the Maternal Child Health department, supporting pregnant and postpartum women and families with infants in the NICU, while also assisting in pediatrics, the general medical unit, and the emergency department. For the past two years she has worked in a primary care clinic offering short-term counseling to adults managing stress, depression, anxiety, chronic medical conditions, and new medical diagnoses.

Since the Covid-19 pandemic she has expanded virtual services and has led a virtual support group addressing pandemic-related impacts. Her approach is collaborative, goal-oriented, and client-centered, and she uses a flexible mix of methods including Cognitive Behavioral Therapy, Solution-Focused Therapy, and Problem-Solving Therapy to meet clients where they are. She frames therapy as a team effort aimed at developing practical coping skills, healthier habits, and measurable progress toward client goals.

Evidence-Informed Approaches for Online Care

Acceptance and Commitment Therapy (ACT) helps clients clarify personal values and take committed action even when difficult thoughts or feelings arise. It can be useful for anxiety, stress, and navigating life changes by teaching mindfulness and value-based choices.

Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and behaviors and replacing them with more balanced patterns. It is often applied to depression, anxiety, and coping with medical or life stressors by teaching practical skills for symptom reduction and problem solving.

Client-Centered Therapy emphasizes a collaborative, respectful relationship where the therapist offers empathy and support while clients lead the pacing and goals of treatment. This approach is helpful for boosting self-esteem, processing grief, and improving communication in relationships.

Finding the right approach is part of the therapeutic process, and Madeline Libretti works with clients to choose methods that match their needs, goals, and preferences. She approaches treatment collaboratively, adjusting techniques as progress and priorities evolve.

Online therapy offers flexibility in how care is delivered - through video calls, phone sessions, live chat, or text-based messaging - which can make it easier to fit appointments into busy schedules and maintain continuity of care. Licensed professionals can adapt these approaches effectively in virtual formats to support accessibility and consistent progress.