Dr. Keith Breiman, LCSW

Dr. Keith Breiman helps people facing stress, anxiety, relationship strain, low self-esteem, career questions, guilt, shame, and loneliness. He brings 42 years of practice as a licensed clinical social worker to straightforward conversations about what feels stuck and what can change.

He uses a mix of approaches to fit each person. Sessions focus on clear goals and practical steps. He listens for patterns and offers ways to test new habits between meetings.

Dr. Breiman trained originally in Gestalt methods and later added psychodynamic ideas, mindfulness practices, and cognitive behavioral techniques. That variety lets him notice emotions, thoughts, and recurring ways of reacting. He tailors work to the person rather than using one fixed method.

In sessions he combines short-term skills and longer conversations about how problems developed. That can mean learning ways to manage anxious thoughts one week and looking at deeper life patterns another week. Clients can expect an engaged, reflective approach that balances insight with action.

He works with people by phone, video, live chat, or text-based messaging, which can make scheduling easier. Dr. Breiman holds LCSW credentials in New York and New Jersey and practices out of New Jersey.

How therapy approaches translate to online work

Client-Centered Therapy focuses on listening and reflecting what you’re experiencing. The therapist offers acceptance and clear feedback to help people find their own solutions and build confidence. Cognitive Behavioral Therapy, or CBT, looks at the links between thoughts, feelings, and actions and teaches concrete skills to change unhelpful thinking and behavior patterns.

Finding the right approach is part of the work together. The therapist will discuss goals, preferences, and how a method feels in practice. Decisions about which techniques to try are made collaboratively and can shift as progress is tracked.

Online formats include video calls, phone sessions, live chat, and text-based messaging, so people can pick what fits their routine. Video is useful for deeper conversations and visual cues. Phone sessions can be easier when bandwidth is limited or for a focused check-in. Live chat or text messaging can work for quick coaching, short updates, or continued support between longer sessions. These options make it easier to schedule therapy around work, family, and travel.