- Skills-based care
- Values-focused work
- Collaborative process
About Lorraine
Lorraine Asti is a licensed clinical social worker (LCSW) based in New York. She draws on practical, evidence-informed approaches to help people manage stress, anxiety, mood changes, and relationship strain. Lorraine writes in a direct, supportive way and aims to make therapy feel understandable and usable from the first session.
She uses methods such as cognitive behavioral therapy (CBT), dialectical behavior therapy (DBT), acceptance and commitment therapy (ACT), attachment-based work, and client-centered therapy. These tools are used to address a wide range of concerns including addictions, trauma and abuse, anger, depression, and grief. Lorraine also lists focus areas that include ADHD, self-esteem, intimacy-related issues, and career concerns.
Her background includes eight years of clinical experience in New York and a practice history that has included work with mood disorders and complex presentations. She notes experience with issues such as personality-related challenges, chronic illness and pain, caregiver stress, and body image or eating concerns. Lorraine frames therapy as a tailored process, adjusting approaches to meet each person’s needs.
In sessions she aims to help people build practical skills, clarify values, and make small changes that add up. She emphasizes collaborative goal-setting and straightforward techniques that can be used between visits. People looking for support with life transitions, coping strategies, or improving communication often focus on skills-based work.
If someone is considering starting, Lorraine asks that they complete the intake steps and schedule according to availability so work can begin in a timely way.
Therapeutic approaches used in online work
Many of Lorraine's approaches focus on practical skills and present-moment experience. Cognitive behavioral therapy, or CBT, looks at how thoughts and behaviors influence mood and offers tools to change unhelpful patterns. It is often used for anxiety, depression, and stress-related problems.Dialectical behavior therapy, DBT, emphasizes skill training in emotion regulation, distress tolerance, and interpersonal effectiveness. It can help when strong emotions, impulsive reactions, or relationship conflicts get in the way of daily life.
Acceptance and commitment therapy, ACT, teaches noticing thoughts without getting stuck in them and clarifying personal values to guide choices. This approach is useful for people coping with difficult feelings and working toward meaningful goals.
Finding the right approach is part of the work together. Lorraine will talk with each person about their needs, goals, and preferences and then suggest which methods to try. That decision is collaborative and can change as therapy progresses.
If you are considering online sessions, confirm the current session options before booking so you know which formats are offered. Online therapy can make it easier to fit appointments into a busy life, reduce commuting time, and allow shorter check-ins when schedules are tight. It can also let people practice new skills between appointments in the settings where they live and work.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
8+ years
Credentials
New York
Languages
English
Frequently asked questions
What concerns does Lorraine commonly address?
She helps people with stress, anxiety, depression, addictions, trauma and abuse, anger, grief, intimacy issues, ADHD, and related problems.
What is her therapeutic style like?
Her style blends cognitive behavioral therapy, dialectical behavior therapy, acceptance and commitment therapy, attachment-based work, and client-centered techniques in a practical way.
How much clinical experience does she have?
She has eight years of clinical experience working in New York with a range of presentations and concerns.
Where is Lorraine licensed and based?
She holds an LCSW license in New York and practices out of the New York area.
Which languages are supported in sessions?
Sessions are offered in English.
Can international clients work with her?
International clients are not currently accepted.
How does cost and subscription work?
Fees vary with location and therapist availability; sessions use a subscription that can be canceled at any time.
What are the first steps to begin therapy?
Click the Start Therapy button, complete the short matching questionnaire, and schedule sessions according to therapist availability.