Amy Appino , LCSW

Amy Appino is a Licensed Clinical Social Worker (LCSW) practicing in Indiana who helps people manage relationship struggles, parenting challenges, mood disorders, anxiety, and addiction-related concerns. She also supports those facing trauma, grief, intimacy issues, and the stresses of life changes. Amy uses a steady, direct approach that lets people talk about what matters to them without judgment.

Amy draws on two decades of clinical work to guide conversations toward practical next steps. Sessions are conversational and focused on what a person wants to change. She listens for patterns that keep problems going and helps clients test new ways of coping that fit their daily life.

Her work often addresses family history and generational trauma alongside current difficulties like ADHD, bipolar disorder, or substance use. Amy helps people untangle how past hurts affect present relationships and parenting. She also supports conversations about eating concerns, chronic illness, caregiving stress, and end-of-life matters.

The therapy room emphasizes honest talk and straightforward tools. Amy may introduce mindfulness practices, emotion regulation skills, or behavior-based strategies depending on a person’s needs. The aim is to make changes that can be used between sessions.

Amy has worked in social work for 20 years and brings that practical experience into each session. She offers care in English and sees people located in Indiana, guiding them through steps to improve daily functioning and relationships.

Online approaches for relationships and mood

Acceptance and Commitment Therapy, or ACT, focuses on helping people notice what matters to them and take small meaningful actions even when feelings are hard. It can help with anxiety, depression, and coping with life changes by clarifying values and building committed steps toward them. Cognitive Behavioral Therapy, or CBT, looks at how thoughts and behaviors keep problems going and teaches practical skills to shift thinking and test new behaviors for issues like anxiety, depression, and eating-related concerns. Dialectical Behavior Therapy, or DBT, emphasizes emotion regulation and distress tolerance skills to manage intense feelings and reduce impulsive behaviors; it is often useful for mood instability and coping with stress.

Choosing an approach is a collaborative process. The therapist will discuss goals, prefered ways of working, and the issues at hand, then try methods that fit the person's needs. That means approaches can be mixed and adjusted as progress unfolds rather than fixed from the start.

Online therapy formats include video calls, phone sessions, live chat, and text-based messaging to provide flexibility. Video calls allow face-to-face conversation when bandwidth and time permit. Phone sessions can work well when a camera is not convenient. Live chat and messaging are useful for brief check-ins, skill practice, or when a written back-and-forth fits a person’s schedule. These options make it easier to fit therapy into busy lives while keeping focus on goals and practical skills.