Genna Lo Presti, LCSW

Genna Lo Presti is a licensed clinical social worker who uses cognitive behavioral therapy as a core part of her work. She writes and speaks plainly about patterns that get in the way of connection and self-worth. Genna aims to help people notice the small, repeated behaviors that keep them stuck and find clearer ways to act instead.

She draws on 22 years of experience in psychiatric and behavioral health settings. That background includes a range of perspectives such as psychodynamic, existential, humanistic, trauma-focused work, and client-centered approaches. Genna earned her bachelor’s degree in 2006, her master’s degree in 2010, and became a licensed clinical social worker in Florida in 2014.

In sessions she helps people recognize how past hurts and attachment patterns shape current relationships and day-to-day choices. She uses practical strategies from cognitive behavioral therapy to change unhelpful thoughts and behaviors. Acceptance and Commitment Therapy ideas support values-based action when people feel overwhelmed.

Genna pays attention to real problems like anxiety, depression, relationship and intimacy issues, addiction, grief, parenting strain, eating concerns, and ADHD. She also addresses wounds tied to abandonment, attachment difficulties, caregiver stress, body image, and dissociation. Her approach is direct, compassionate, and often lightened with gentle humor.

Conversations are collaborative and down-to-earth. Genna focuses on small, manageable shifts that reduce distress and increase everyday functioning. She welcomes people who want practical tools and steady listening as they work through life’s challenges.

Online approaches that match your needs

Genna uses cognitive behavioral therapy to help people identify unhelpful thoughts and try new, more effective behaviors; this approach is often used for anxiety, depression, and stress. She also draws on Acceptance and Commitment Therapy, which focuses on clarifying personal values and taking meaningful action even when difficult feelings are present. Attachment-Based Therapy informs her work on relationship patterns and how past connections influence current intimacy and trust.

Choosing the right approach is part of the work together. Genna will discuss goals and preferences and then recommend strategies that fit each person’s situation. Sessions are collaborative so techniques can be adjusted over time as needs change.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for deeper conversations and visual cues. Phone sessions can be a good option when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging work well for brief check-ins, homework support, and ongoing coaching between longer sessions. These options make it easier to fit therapy into busy lives and varied schedules.