Cassandra Duff , LMHC

Cassandra Duff is a licensed mental health counselor (LMHC) based in New York with 19 years of clinical experience. She focuses on stress, anxiety, relationship difficulties, anger, depression, and addiction-related concerns. Cassandra also supports people facing intimacy-related issues, career stress, ADHD, and challenges tied to bipolar disorder. She lists women's issues among her areas of focus and brings a patient, respectful manner to conversations.

Her sessions are conversational and goal-oriented. She listens first, then helps people set small, manageable steps. Cassandra uses practical tools from cognitive behavioral therapy and dialectical behavior therapy alongside a client-centered stance to shape work that fits each person. That means sessions often include brainstorming coping strategies, practicing new skills, and checking what worked between meetings.

She has worked with a wide range of life changes, including caregiver strain, infidelity, commitment questions, and financial stress. Cassandra also addresses shame, isolation, multicultural concerns, and obsessive or intrusive thoughts. Clients looking to strengthen self-love, recover from jealousy, or manage compulsive behaviors find concrete methods to try between sessions.

Sessions are offered in English and delivered remotely by video calls, phone, live chat, or text-based messaging. Cassandra describes the first meeting as a chance to clarify goals and co-create a plan. Her approach emphasizes steady progress and practical coping rather than quick fixes.

People who want a steady, collaborative therapist who uses straightforward tools may find her style helpful. She frames therapy as a partnership and aims to make next steps clear and achievable.

Online approaches that meet you where you are

Cognitive behavioral therapy, or CBT, focuses on the links between thoughts, feelings, and behaviors. It helps people spot patterns that increase anxiety or depression and then try different, evidence-based strategies to change those patterns. This can be useful for stress, worry, obsessive thoughts, and mood symptoms.

Dialectical behavior therapy, DBT, teaches practical skills in emotion regulation, distress tolerance, and interpersonal effectiveness. Those skills help when emotions feel overwhelming or when relationships keep getting stuck. DBT techniques are often concrete and practiced between sessions so skills become easier to use in the moment.

Client-centered therapy puts the person's goals and perspective at the forefront. The therapist listens closely and adjusts the pace and focus to match what the person needs. Combining this stance with CBT and DBT makes room for both skill-building and a supportive, individualized plan.

Cassandra helps clients choose which approaches to try through a collaborative conversation about goals and preferences. Together they review what feels most useful and make a plan that can be adjusted over time. Finding the best fit is part of the work rather than a single decision.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, which make scheduling more flexible. Video sessions allow face-to-face conversation, phone can be quicker or use less bandwidth, and messaging supports short check-ins or ongoing notes between appointments. These formats help people fit therapy into busy lives and keep momentum between meetings.