Lorraine Asti, LCSW

Lorraine Asti is an LCSW practicing in New York who focuses on helping people navigate midlife transitions and other major life changes. She uses practical, skills-based approaches to help people manage stress, anxiety, mood changes, and relationship strain. Lorraine writes plainly and meets clients where they are, aiming to make therapy understandable and usable from the first session.

She draws on cognitive-behavioral methods to break down unhelpful thinking and build new routines. Acceptance and Commitment Therapy helps people clarify what matters to them and take steps toward those values. Dialectical Behavior Therapy offers tools for strong emotions and interpersonal strain.

Her work also emphasizes attachment patterns and the ways early relationships shape current expectations and behaviors. Lorraine talks through relationship and intimacy concerns, communication difficulties, and issues around abandonment and commitment. She includes coping strategies for grief, caregiver stress, chronic illness, and compassion fatigue.

With eight years of experience as a licensed social worker, Lorraine combines practical coaching with therapeutic listening. She addresses addictions, ADHD, bipolar concerns, and disordered eating by matching strategies to each person’s needs. The goal is steady progress rather than quick fixes.

Sessions are collaborative and focused on clear goals. Lorraine encourages straightforward conversations about parenting stress, career transitions, body image, and sleep difficulties. New clients are guided through what to expect and steps they can take between sessions.

Therapeutic approaches and how they fit online

Acceptance and Commitment Therapy (ACT) helps people name what matters to them and take small steps toward those values despite uncomfortable thoughts or feelings. It can be useful for coping with life transitions, midlife decisions, and ongoing stressors. Cognitive Behavioral Therapy (CBT) focuses on changing patterns of thinking and behavior that keep problems going, such as anxiety, low mood, or sleep disruption. It often involves concrete exercises and homework to practice new skills between sessions. Attachment-Based Therapy looks at how early relationship patterns shape current expectations and reactions, which can help with intimacy, communication, and relationship distress.

Choosing the right approach is part of the work together. Lorraine will talk with each person about goals, preferences, and what feels most helpful. That collaborative process guides whether sessions emphasize skills practice, values work, or exploring relationship patterns.

Practical benefits of online work can include easier scheduling and fitting sessions into a busy day. Confirm current session options before booking, since formats are not specified here. Many people find online talks make it simpler to keep momentum between appointments and to try short skill-focused check-ins when life gets hectic.