Lorraine Asti

Practical, evidence-informed therapy for day-to-day life

LCSW New York

Experience: 8 years in practice
Focus areas: Stress, Anxiety, Addictions, Trauma and abuse
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Lorraine

Lorraine Asti is a licensed clinical social worker practicing in New York who blends evidence-informed methods to address a wide range of emotional and behavioral concerns.

Background and approach

With eight years of clinical experience, she centers treatment on practical strategies that help people manage stress, anxiety, mood disturbances, addiction-related challenges, trauma, and relationship or intimacy concerns. Lorraine draws on cognitive behavioral techniques alongside acceptance-oriented and attachment-focused work to tailor plans to each person's needs.

Her practice also attends to areas such as eating and sleeping struggles, parenting and caregiver stress, grief, self-esteem, career transitions, ADHD, and compassion fatigue. Lorraine combines skills from DBT, client-centered care, and ACT to help clients build coping skills, reframe unhelpful patterns, and strengthen meaningful connections.

She offers sessions in English and maintains a focus on collaborative care, helping clients set realistic goals and learn tools they can use between appointments. Prospective clients in New York can expect a thoughtful, flexible approach that draws on multiple modalities to match individual concerns and preferences.

Lorraine approaches each case with empathy and practical guidance aimed at sustainable change.

Online Approaches That Emphasize Skills and Connection

Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thinking patterns and behaviors; it is often used for anxiety, depression, stress, and many everyday challenges by teaching practical skills and structured strategies. Acceptance and Commitment Therapy (ACT) encourages present-moment awareness and values-based action, helping people tolerate difficult thoughts and feelings while committing to life directions that matter to them. Attachment-Based Therapy explores patterns of relating and emotional bonds, which can help with intimacy, relationship difficulties, and recovering from relational trauma.

Finding the right mix of approaches is part of the therapeutic process, and Lorraine works collaboratively to determine what fits each client's goals and preferences. She can draw from CBT, ACT, attachment work, DBT skills, and client-centered techniques as needed, and will review progress with clients to adjust the plan together.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to provide flexibility for different schedules and needs. These formats make it easier to access consistent care from New York without commuting, and they allow clients to practice tools in real-life contexts between sessions while maintaining regular contact with their therapist.

Frequently asked questions

What kinds of concerns does Lorraine treat?

She works with a broad range of issues including stress, anxiety, addictions, trauma and abuse, anger, depression, LGBT concerns, relationship and family matters, grief, intimacy issues, eating and sleeping problems, parenting, self esteem, career difficulties, bipolar disorder, ADHD, and compassion fatigue.

What is her therapeutic style and approach?

Her practice combines cognitive behavioral methods with approaches like ACT, DBT, attachment-based therapy, and client-centered care to create a tailored, skills-focused treatment plan.

How much clinical experience does she have?

She has eight years of experience providing psychotherapy across a variety of presenting concerns and clinical approaches.

What are her credentials and where does she practice?

She holds an LCSW and is licensed in New York with the registration NY LCSW 088850.

In which language can I work with her and does she accept international clients?

Sessions are offered in English, and she is not currently accepting international clients.

Which session formats are available?

She offers multiple remote formats including video calls, phone sessions, live chat, and text-based messaging to meet different scheduling and communication preferences.

How is cost handled for sessions?

Cost varies with location and therapist availability; sessions operate via a subscription model that can be canceled at any time.

What are the steps to begin working with her?

To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Primary focus

Stress, Anxiety Addictions Trauma and abuseAnger managementDepression

Also works with

LGBTRelationship issuesFamily conflictsGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue ADHD

Additional focus areas

AbandonmentAntisocial personalityAttachment issuesAutism and Asperger SyndromeAvoidant personalityBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesDependent personalityDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesForgivenessGender dysphoriaGuilt and shameHoardingImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCD Panic disorder and panic attacksParanoiaPersonality disordersPhobias Post-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Self-harmSelf-loveSexual assault and abuseSexualitySmoking / vaping cessationSocial anxiety and phobiaTraumatic brain injuryWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

8+ years

Licensed

New York

Languages

English