Holly Spire , LCSW-R

Holly Spire is a Licensed Clinical Social Worker (LCSW-R) with three decades of experience supporting people through stress, anxiety, grief, low self-esteem, and depression. She focuses on practical coping skills and gentle guidance so clients can regain steadiness and confidence. Holly emphasizes collaboration and honors each person’s perspective as the starting point for change.

Over her 30-year career she has worked with issues related to body image, eating and food-related concerns, cancer, caregiving stress, and recovery from sexual assault and domestic violence. She also addresses the effects of narcissistic abuse, post-traumatic stress, and challenges common to young adults. Her practice centers on helping people manage life changes and rebuild self-love.

In sessions Holly draws on client-centered methods and trauma-focused work to respond to what each person needs in the moment. She uses mindfulness and somatic tools to help people reconnect with their bodies and manage overwhelming emotions. Dialectical behavior therapy skills are also used to teach practical tools for stability and emotional regulation.

Holly works with people in New York and conducts therapy in English. Her approach is straightforward and compassionate, focusing on small, doable steps that fit into daily life. She aims to create a calm space where people can name what’s hard and practice new ways of coping.

If someone is ready to begin, Holly encourages taking the next step knowing that reaching out is an important act of self-care.

Approaches that translate well to online care

Holly uses client-centered methods that focus on the person's experience and priorities, helping people name what matters and set realistic goals. This approach is useful when someone needs a supportive, practical space to work through stress or life changes.

She also draws on trauma-focused work and somatic techniques that help process difficult memories and reconnect with bodily signals. In an online setting these approaches support paced processing of traumatic material and teach grounding practices people can use between sessions.

Finding the right approach is part of the work. Holly will collaborate with each person to choose methods that fit their needs, goals, and preferences. Together they review what’s helping and adjust the plan as therapy progresses.

Online therapy offers practical benefits for people juggling busy lives. Video calls allow for face-to-face conversation when a deeper connection is helpful. Phone sessions use less bandwidth and can fit into a work break or commute. Live chat and text messaging make brief check-ins, skill practice, and ongoing support easier to schedule. These options provide flexibility so therapy can be woven into everyday routines rather than add extra travel time.