Lorraine Asti , LCSW

Lorraine Asti is a licensed clinical social worker who focuses on practical, values-based therapy. She uses approaches that help people notice what matters, learn new skills, and make small changes that add up. Lorraine works from New York and brings eight years of professional experience to her work with adults.

She blends acceptance and commitment ideas with cognitive and behavioral strategies. That means sessions often include clear goals, small experiments, and attention to thoughts and actions. Lorraine also draws on attachment-based and client-centered methods to pay attention to how relationships and personal strengths shape daily life.

People come to her for many concerns, including stress, anxiety, depression, addictions, trauma, grief, and issues around intimacy and self-esteem. She also supports those facing career changes, parenting stress, ADHD, and chronic health challenges. Her approach is straightforward and focused on practical steps for coping and change.

In sessions Lorraine prioritizes listening first, then planning. She helps create skills for managing intense feelings, improving communication, and rebuilding routines like sleep and eating. Work can include short skills practice, behavior changes, or values-based choices depending on what a person needs.

Her background as an LCSW gives her a clinical framework for assessment and treatment planning. Lorraine uses that experience to tailor each plan to the person in front of her, helping people move toward clearer goals and steadier day-to-day functioning.

How therapeutic approaches translate to online care

Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking small committed steps toward them. Online sessions using ACT often include brief exercises, values check-ins, and real-life experiments people can try between meetings. Cognitive Behavioral Therapy (CBT) looks at how thoughts influence feelings and behavior and uses short skill practice to change unhelpful patterns. In remote CBT sessions a person might track thoughts, try behavioral experiments, and review results with the therapist to adjust next steps.

Choosing the right approach is part of the work. The therapist will collaborate with each person to pick methods that match their goals, day-to-day needs, and comfort with different tools. That means trying a technique, reviewing how it felt, and adapting the plan together rather than committing to one method upfront.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video allows face-to-face conversation and screen sharing for worksheets. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging support shorter check-ins, quick skills coaching, or ongoing reflection between sessions. These options make it easier to fit therapy into work, caregiving, or travel schedules while keeping treatment focused on practical change.