Madeline Libretti , LCSW

Madeline Libretti is a Licensed Clinical Social Worker (LCSW) who uses collaborative, goal-focused methods to help people manage stress, anxiety, depression, and life changes. She emphasizes practical skills and steady support. Madeline offers clear, down-to-earth care for a range of concerns, including women's issues and parenting challenges.

Madeline draws on five years of clinical experience in medical and primary care settings. Early in her career she worked in hospital maternal-child services, supporting pregnant and postpartum people, families with infants in the NICU, and patients across pediatrics and emergency care. More recently she provided short-term counseling in a primary care clinic, helping adults adjust to new medical diagnoses and chronic health concerns.

Her approach mixes evidence-based techniques with a client-centered attitude. She uses Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, and other practical tools to build coping skills. Sessions focus on small, achievable steps and real-world strategies clients can use between meetings.

Madeline also brings experience running virtual support groups and offering online mental health care since the COVID-19 pandemic. She aims to make therapy approachable and useful, whether someone needs help with grief, relationship struggles, or changes at work and home.

People come to her for help with addiction, ADHD, intimacy and communication issues, parenting strain, and feelings of emptiness or shame. Her style is straightforward, warm, and oriented toward progress.

Evidence-based approaches adapted for online care

Madeline often uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in her online practice. Acceptance and Commitment Therapy focuses on helping people notice difficult thoughts and feelings while taking action toward what matters to them. It can help with anxiety, grief, and coping with life changes. Cognitive Behavioral Therapy looks at how thoughts, feelings, and actions connect and uses practical exercises to shift unhelpful patterns, which can be useful for depression, anxiety, and stress.

Finding the right approach is a joint process. Madeline works with clients to choose or combine methods based on their goals, preferences, and the problems they bring. She adapts techniques so they work in short-term problem solving or longer-term skill building, depending on what the client needs.

Online sessions are offered by video call, phone, live chat, or text-based messaging to make care more flexible. Video sessions allow face-to-face conversation and skills practice. Phone sessions can fit into a busy schedule or require less bandwidth. Live chat and messaging are helpful for brief check-ins, tracking progress, or getting support between sessions. These options make it easier to keep therapy consistent while balancing work, parenting, or health appointments.