Mara Sambugaro Framesqui , LMHC

Mara Sambugaro Framesqui is a New York LMHC who helps people coping with stress, anxiety, depression, and relationship concerns. She focuses on practical steps that fit into daily life and supports people working through family issues and low self-esteem. Her approach aims to make change feel manageable, one small step at a time.

Mara meets people where they are and pays attention to their personal history. She listens for patterns that keep causing pain, like attachment wounds, abandonment fears, or codependent behavior. Together she and the client identify simple, repeatable skills to reduce overwhelm and improve communication.

Sessions often include checking how feelings connect to daily choices and relationships. She helps clients notice unhelpful thoughts and replace them with kinder, more realistic ones. For people struggling with mood disorders, compulsive thoughts or control issues, she offers steady guidance and clear practices to try between sessions.

Mara also addresses issues such as commitment worries, narcissistic dynamics in relationships, domestic violence impacts, and multicultural concerns. She understands how cultural background can shape expectations and emotional responses. Her work is patient and focused on building safer, more satisfying ways of relating to others.

She speaks English, Italian, and Portuguese and has five years of clinical experience. People can expect a calm, direct style that balances emotional support with concrete tools for change.

Practical approaches for online therapy and healing

Two evidence-based techniques Mara uses are focused work on thought patterns and skills-building around relationships. Cognitive-style work helps people notice unhelpful thoughts and practice more balanced thinking, which can ease anxiety and depressive moods. Relationship-focused work looks at attachment patterns and communication habits to help people set clearer boundaries and connect more effectively.

Another common approach involves behavior-focused exercises that break cycles of avoidance or compulsive actions. These exercises give clear, repeatable tasks to practice between sessions so progress can be tracked week to week and small gains add up over time.

Choosing the right mix of approaches happens together. The therapist and client review goals, preferences, and what feels most useful in early sessions, then adjust methods as needed. This is a collaborative process rather than a one-size-fits-all plan.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for full conversations and reading facial cues, while phone sessions work well when bandwidth is limited or someone prefers not to be on camera. Live chat and text messaging are convenient for short check-ins, quick skill practice, or when a written record of ideas helps with reflection. These options make it easier to fit therapy around work, family, or travel schedules.