Genevieve (Genny) Gravina , LMHC

Genevieve (Genny) Gravina practices with a client-centered approach that puts each person's experience first. She is a Licensed Mental Health Counselor, LMHC, based in New York and brings six years of clinical experience to her work. Genny speaks English and focuses on helping people manage stress, anxiety, and relationship concerns, including intimacy-related issues and family problems.

Genny often uses cognitive behavioral techniques to help people notice unhelpful thoughts and try new behaviors. She also draws on dialectical behavior skills and mindfulness practices to teach tools for emotional regulation and grounding. Narrative ideas are used when telling and reshaping personal stories matters to healing.

People come to Genny with a wide range of concerns: depression, mood disorders including bipolar, self-esteem and body image issues, eating and sleep difficulties, ADHD challenges, and compassion fatigue. She also addresses attachment, codependency, communication problems, guilt and shame, isolation, and questions about life purpose.

Sessions are collaborative and practical. Genny helps people set small, doable goals and practices between meetings. She aims for clear, calm conversations where clients feel heard and can try concrete tools.

Online options include video calls, phone sessions, live chat, and text-based messaging. Therapy is provided through a subscription model that can be canceled at any time, and scheduling is arranged after completing a short matching questionnaire and selecting a time.

Approaches that translate well to online therapy

Client-centered therapy focuses on building a respectful, nonjudgmental relationship so clients can talk through their concerns and identify goals. This approach helps with stress, relationship issues, and growing self-esteem by centering the client's own priorities.

Cognitive Behavioral Therapy, or CBT, helps people notice patterns of thought that feed anxiety or low mood and practice different ways of thinking and behaving. It is often used for anxiety, depression, sleep difficulties, and many everyday worries because it emphasizes concrete skills and homework between sessions.

Dialectical Behavior Therapy, DBT, offers practical skills for managing strong emotions, improving interpersonal effectiveness, and tolerating distress. These skills are useful for people experiencing mood swings, relationship conflict, or intense stress.

Genny will work with each person to find the best mix of approaches. Figuring out what fits is a shared process that considers your goals, preferences, and what feels most useful in early sessions.

Online therapy here is offered through video calls, phone sessions, live chat, and text-based messaging. Video sessions let you use visual cues and longer conversations, phone sessions can be easier when bandwidth is limited, live chat is useful for short check-ins, and text messaging supports ongoing reflection and brief coaching between meetings. These options make it easier to fit therapy into a busy life and try different formats until one feels right.