Madeline Libretti, LCSW

Madeline Libretti, LCSW, offers a collaborative, client-centered approach to therapy. She focuses on practical skills and clear goals to help people manage stress, anxiety, relationship struggles, trauma and abuse, and life transitions. Sessions aim to build coping tools and stronger routines so daily life feels more manageable.

Madeline draws on several evidence-based methods to match therapy to each person. She uses Cognitive Behavioral Therapy to identify and shift unhelpful thoughts and behaviors. Acceptance and Commitment Therapy helps people clarify values and take committed steps forward. Dialectical Behavior Therapy and client-centered techniques add skills for emotion regulation and steady support during hard moments.

Her background includes five years of clinical work in hospital and primary care settings. Early in her career she provided mental health support to pregnant and postpartum people and families with infants in neonatal care. More recently she has delivered short-term counseling in a primary care clinic and led virtual support groups addressing pandemic-related stress.

Madeline holds a Master of Social Work from New York University and a Master in Experimental Psychology from St. John’s University. She practices in Florida as an LCSW and offers services in English. Her experience includes helping people with grief, addictions, parenting strain, career stress, ADHD, and issues around intimacy and self-esteem.

Her style is down-to-earth and goal-focused. Clients work together with her to set practical steps, practice new skills between sessions, and track progress over time. She encourages people to bring concerns and questions so therapy stays relevant to everyday life.

How her approaches translate to online therapy

Madeline commonly uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in her work. ACT helps people name what matters to them and take small actions that match their values. CBT focuses on identifying unhelpful thoughts and testing new behaviors to reduce distress. Both approaches break big problems into manageable steps and are useful for anxiety, depression, trauma-related symptoms, and life transitions.

She treats therapy as a collaborative process. Together the therapist and client review goals, try approaches, and adjust methods based on what feels most helpful. Finding the right fit often happens over a few sessions, and Madeline supports clients in choosing the techniques that match their needs and preferences.

Session formats are not listed in the biography, so confirm available options before booking. Online therapy can make it easier to fit sessions into a busy life - for example, it can save travel time, allow shorter check-ins during a work break, or remove the need to be on camera if audio works better. Licensed professionals can guide how to use skills between meetings and adapt exercises for remote sessions to keep progress moving forward.