Andrea Graziano, LPC, LMHC

Andrea Graziano is a counselor who uses Cognitive Behavioral Therapy to help people manage stress, anxiety, low self-esteem, depression, relationship strain, grief, anger, and bipolar-related concerns. She is a Licensed Professional Counselor (LPC) and a Licensed Mental Health Counselor (LMHC) with about 15 years of clinical experience. Andrea welcomes straightforward conversations and practical steps that fit daily life.

Her style centers on following the client's lead. She listens with warmth and helps people identify small, usable changes. Sessions often focus on spotting unhelpful thoughts, trying different behaviors, and practicing calming or mindful skills between meetings.

Andrea trained at Medaille College and has worked in both outpatient and residential settings. That mix of experience shaped a practical approach to care and case coordination. She aims to encourage and empower people to make decisions that match their goals.

She keeps a weekday schedule and offers a mix of remote session formats. Because of licensing rules, she can see people who are physically located in New York or Virginia only. She does not take part in legal or court-related cases, including compensation or disability matters.

People who reach out can expect a collaborative plan that blends CBT, mindfulness, and client-centered conversation. Andrea focuses on helping people reduce distress, build coping skills, and move toward clearer choices.

How CBT and Mindfulness Translate to Online Therapy

Andrea uses Cognitive Behavioral Therapy and Mindfulness Therapy as central tools. CBT focuses on identifying unhelpful thoughts and testing new behaviors to reduce symptoms like anxiety or low mood. Mindfulness Therapy teaches present-moment awareness and simple practices to calm the body and mind, which can help with stress, anger, and grief.

Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, daily routines, and what feels most useful. Together they adapt techniques and pacing to match the client's needs and preferences rather than following a fixed plan.

Online sessions offer practical flexibility. Video calls let people use visual cues for deeper conversation and role-play. Phone sessions can be easier when the client needs a low-bandwidth option or a shorter check-in. Live chat and text-based messaging work well for brief updates, homework exchanges, or people who prefer typed reflection. These formats make it easier to fit therapy into work, caregiving, or busy schedules while keeping the focus on steady progress.