Genevieve (Genny) Gravina

Genevieve (Genny) Gravina is a licensed mental health counselor (LMHC) who centers her work on the person in front of her. She greets worry with steady attention and practical steps. She aims to make the first conversations easy to follow and respectful of where someone is right now.

Genny combines client-centered care with tools from cognitive behavioral therapy and dialectical behavior therapy. She also draws on mindfulness and narrative approaches when helpful. In sessions she listens for strengths, patterns, and small changes that can make daily life feel more manageable.

Her practice focuses on common pressures people face, including stress, anxiety, depression, relationship and intimacy-related concerns, and self-esteem struggles. She also helps with eating and sleeping issues, parenting worries, ADHD, bipolar mood concerns, compassion fatigue, and family problems. Body image, codependency, and communication problems are other areas she addresses.

Genny practices in New York and works in English. She describes her approach as nonjudgmental and authentic, aiming to help people name feelings, try new strategies, and notice progress. Over time she and the person in therapy create a plan that fits that person’s goals and life practicalities.

Clients can expect straightforward conversation, reflection, and skills practice when appropriate. Her goal is to help people move through hard moments and build routines that support better day-to-day functioning.

How therapeutic approaches translate to online care

Client-Centered Therapy focuses on listening and following the person’s lead. In practice this means the therapist reflects what she hears, helps clarify goals, and supports the client’s choices. Cognitive Behavioral Therapy (CBT) breaks concerns into thoughts, feelings, and actions. It offers concrete skills and small experiments to change unhelpful patterns and is often used for anxiety, depression, and sleep or eating problems.

Choosing the right approach is a collaborative process. The therapist will ask about your goals and daily life, then try methods that match what you need. That plan can change as progress is made, with both therapist and client checking in about what is working.

Confirm current session options before booking so you know which formats are offered. Online work can make it easier to fit therapy into a busy week, shorten travel time, and let people join a session from a quieter space. It can also allow for focused skills practice, brief check-ins, and consistent weekly meetings when that fits the person’s routine.