Lorraine Asti, LCSW

Lorraine Asti is a licensed clinical social worker (LCSW) practicing in New York. She uses practical, goal-oriented methods to help people manage stress, anxiety, addiction struggles, and relationship concerns, including jealousy. Lorraine keeps sessions focused and straightforward so people can use what they learn right away.

She draws on several therapy styles and adapts them to each person’s needs. That can mean learning skills to cope with overwhelming emotions, changing unhelpful thought patterns, or looking at early attachment experiences that shape current relationships. She often blends Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Acceptance and Commitment Therapy, Attachment-Based work, and a client-centered stance.

Her background includes eight years of clinical work in New York settings with a wide range of concerns. Lorraine has supported people facing grief, trauma, mood and personality challenges, ADHD, parenting stress, and issues around intimacy and self-esteem. She also has experience with caregivers managing chronic illness and people coping with life transitions.

In sessions she focuses on clear steps and practical tools. People can expect skill-building, problem solving, and space to talk through emotions and relational patterns. She pays attention to how past relationships affect current behavior and communication.

Her approach is collaborative and paced to what each person needs. Lorraine aims to help people find more balance, reduce distress, and improve how they relate to themselves and others.

How therapy approaches guide online sessions

Acceptance and Commitment Therapy (ACT) centers on helping people notice their inner thoughts and feelings without getting stuck in them. It emphasizes values-based action so clients can move toward what matters even when emotions are difficult. Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thinking and behavior patterns, and it often includes concrete tools for anxiety, mood, and coping skills. Attachment-Based Therapy looks at early relationship patterns and how they shape current intimacy and trust; it helps people understand and change repeated relational habits.

Finding the right approach is part of the work. Lorraine will collaborate with each person to choose methods that match their goals, needs, and preferences. That might mean prioritizing skills training first, then exploring attachment patterns later, or mixing approaches throughout treatment.

If you are considering online therapy, confirm the session formats available before booking. Online work can make it easier to fit therapy into a busy schedule, reduce travel time, and allow check-ins that focus on practical skill practice between sessions. Some methods lend themselves to focused skills work while others support deeper relational reflection, and the therapist will help tailor sessions to what fits a client's life and goals.