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BD Portrait of Barbara Defazzio

Barbara Defazzio

Experienced trauma-focused counselor and listener

LMHC Florida

Experience
40 years in practice
Focus areas
Stress, Anxiety, Family, Trauma and abuse
Approaches
Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages
English

About Barbara

Barbara Defazzio is a Florida-licensed mental health counselor (FL LMHC MH6336) with four decades of clinical experience. She built a independent practice in Massachusetts for more than 20 years, focusing heavily on sexual abuse and trauma-related care, and has continued that work since relocating to Florida.

Background and approach

Over the years she has supported many people affected by post-traumatic stress related to abuse and those who experienced the foster care or adoption process as children. Her practice addresses a range of concerns including stress, anxiety, family conflict, grief, and adjustment to life changes.

She also brings experience with attachment and blended family issues, caregiver stress, communication problems, and the complex feelings that can follow sexual assault and other forms of trauma. Barbara blends trauma-informed approaches with client-centered listening to help clients move through guilt, isolation, and other painful reactions.

Clients who reach out can expect an approach shaped by long-term clinical work and practical methods that emphasize collaboration and clear strategies. She encourages people who are ready to begin to take that first step, offering guidance on how to get started and what to expect in early sessions.

Approaches That Translate Well to Online Care

Barbara often uses Cognitive Behavioral Therapy to help clients identify and shift unhelpful thinking and behavior patterns; CBT is practical and goal-oriented, often helpful for anxiety, stress, and mood concerns. She also employs Trauma-Focused Therapy to address the effects of abuse and post-traumatic stress, working to process traumatic memories and reduce their ongoing impact in daily life. In addition, Client-Centered Therapy informs her way of working by emphasizing empathetic listening and collaboration so clients feel heard and involved in planning their care.

Finding the right approach is handled collaboratively. The therapist works with each person to clarify needs, goals, and preferences and then adapts techniques over time rather than insisting on a single method. That collaborative process helps tailor treatment to what feels most useful and realistic for the client’s situation.

Online sessions are available by video calls, phone sessions, live chat, or text-based messaging, offering flexible timing and formats to fit different schedules and communication styles. These options make it easier to maintain continuity of care when travel, family demands, or location would otherwise make regular sessions difficult, and they allow licensed professionals to deliver consistent therapeutic work across distances.

Frequently asked questions

What concerns does Barbara commonly address?
She works with stress, anxiety, family problems, trauma and abuse, grief, and coping with life changes, as well as related issues such as abandonment, adoption and foster care experiences, and women's issues.
What is her general therapeutic style?
Her style emphasizes client-centered listening combined with practical strategies drawn from approaches like Cognitive Behavioral Therapy and trauma-focused methods to help clients address symptoms and patterns.
How much clinical experience does she have?
She brings 40 years of professional work experience, including over 20 years running a independent practice in Massachusetts and continued clinical work in Florida since relocating.
What credentials and location should I know about?
She is licensed in Florida as an LMHC with license number FL LMHC MH6336 and practices from Florida.
Does she work with non-English speakers or international clients?
She provides services in English and does accept international clients, while conducting sessions in English.
Which session formats are available?
Sessions are offered via video calls, phone sessions, live chat, or text-based messaging to accommodate different communication preferences.
How are costs and billing handled?
Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.
What is the process for beginning therapy?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAttachment issuesBlended family issuesCaregiver issues and stressCommunication problemsCoping with natural or human-caused disasterFamily of origin issuesFamily problemsGuilt and shameIsolation / lonelinessPost-traumatic stressSexual assault and abuseWomen's issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Motivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

40+ years

Licensed

Florida

Languages

English