Anna Cognetto , LCSW-R

Anna Cognetto is a licensed clinical social worker with 44 years of practice in New York. She focuses on helping people who face depression, addictions, and relationship struggles. She also addresses concerns related to gender identity, LGBTQ+ wellness, and issues connected to military service and post-traumatic stress.

Her work is calm and practical. Sessions aim to clarify what matters most to each person and then build small steps toward those goals. She uses straightforward tools to help manage mood, reduce harmful patterns, and strengthen daily coping skills.

Anna combines mindful awareness with skills-based techniques. She draws on Acceptance and Commitment Therapy to help people notice feelings without getting stuck, and Cognitive Behavioral Therapy to change patterns that keep problems repeating. Trauma-focused methods are used when past events continue to cause distress.

People meet her for a range of concerns including codependency, drug and alcohol addiction, gender dysphoria, and PTSD. She pays attention to how life roles and relationships affect well-being and supports people in finding clearer choices.

Her sessions are collaborative and paced to match each person's needs. She explains options, practices skills in-session, and offers simple homework when it helps. The goal is steady, usable progress rather than quick fixes.

How therapeutic approaches work online

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without being driven by them. It focuses on clarifying values and taking small actions that matter, which can be useful for depression, relationship stress, and recovery from addiction.

Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions. It uses practical exercises to change unhelpful thinking and behavior, which can reduce low mood and help break cycles of substance use or harmful patterns.

Finding the right approach is part of the work. The therapist will collaborate with each person to weigh goals, preferences, and what feels most useful. Together they adapt methods over time so the plan matches the client's needs.

Online therapy offers flexibility in how sessions happen. Video calls let people talk face-to-face when time and travel are limited. Phone sessions can work when bandwidth is low or a simpler check-in is needed. Live chat and text-based messaging allow shorter, more frequent contact for skill practice and brief support between sessions.