Madeline Libretti, LCSW

Madeline Libretti is a Licensed Clinical Social Worker (LCSW) who uses Cognitive Behavioral Therapy as a core part of her work. She focuses on practical strategies for stress, anxiety, depression, and relationship concerns. Madeline writes short-term, goal-focused plans to help people build everyday coping skills and make steady progress.

Madeline has five years of clinical experience and practices in Florida. Early in her career she provided mental health support in hospital settings, including maternal-child services and the emergency department. More recently she worked in a primary care clinic offering short-term counseling for adults facing new medical diagnoses and chronic conditions.

Her approach blends Cognitive Behavioral Therapy with Acceptance and Commitment Therapy, Dialectical Behavior Therapy, and client-centered methods. Sessions aim to identify patterns of thinking and behavior, try practical exercises, and teach tools that can be used between meetings. Therapy is presented as a collaborative effort where goals are set together and adjusted as progress is made.

Madeline also draws on experience running virtual support groups and providing teletherapy since the COVID-19 pandemic. She helps people address parenting strain, grief, trauma, addiction concerns, self-esteem, ADHD-related struggles, and many other life challenges. Conversations are straightforward and focused on what will help in daily life.

She offers video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs. People who want to begin can complete an online matching questionnaire and schedule sessions based on therapist availability.

Using CBT and Acceptance-based Work Online

Madeline primarily uses Cognitive Behavioral Therapy to help people identify unhelpful thinking patterns and try new behaviors that reduce distress. CBT focuses on concrete skills and practice that can change how thoughts, feelings, and actions interact, making it useful for anxiety, depression, and stress-related problems.

She also incorporates Acceptance and Commitment Therapy, which encourages noticing thoughts without getting stuck in them and clarifying values to guide action. That approach can help with persistent worries, life transitions, and challenges where avoidance has become a pattern. Client-centered principles inform how sessions are paced - the person sets priorities while the therapist listens and reflects.

Finding the right approach is part of the work. She discusses options together and tailors methods based on each person's goals, needs, and preferences. That collaborative process helps decide when to use skill practice, mindfulness-based exercises, or targeted problem solving.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video is useful for more in-depth skill work and face-to-face conversation. Phone sessions fit shorter check-ins or when bandwidth is limited. Live chat and text messaging allow brief updates, coping prompts, or more flexible check-ins between appointments. These options make it easier to fit therapy into busy schedules and to keep steady progress over time.