Madeline Libretti, LCSW

Madeline Libretti is a Licensed Clinical Social Worker (LCSW) who uses collaborative, client-centered methods to help people manage stress, anxiety, addiction concerns, relationship tension, and life changes. She focuses on practical skills and clear goals so people leave sessions with tools they can use right away.

She draws on approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, the Gottman Method, and client-centered work. Sessions emphasize problem solving, coping strategies, and building routines that support everyday functioning. Sessions are aimed at helping people feel steadier and more able to handle tough moments.

Madeline has five years of clinical experience. Early in her career she worked in a large hospital system in New York City, supporting pregnant and postpartum women, families with infants in neonatal intensive care, and patients in pediatrics and emergency settings. That work involved short-term and crisis-focused support alongside ongoing counseling.

More recently she has provided short-term counseling in a primary care clinic, helping adults cope with new medical diagnoses, chronic conditions, depression, and anxiety. Since the COVID-19 pandemic she has also offered virtual mental health support and ran a virtual support group addressing pandemic-related stress.

Her style is straightforward and team-oriented. She aims to help people set usable goals, practice new skills between sessions, and notice small changes that add up over time. Prospective clients in Florida can confirm current session options before booking.

Approaches that translate to online work

Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking small, meaningful steps toward them while learning to live with difficult thoughts and feelings. It can help with anxiety, depression, and life transitions. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions and gives concrete strategies to change unhelpful patterns; it is often useful for anxiety, depression, and stress. Dialectical Behavior Therapy (DBT) trains emotion regulation, distress tolerance, and interpersonal skills and can be helpful for strong mood swings, overwhelming emotions, or relationship conflicts.

Choosing the right approach is a team effort. The therapist will talk with the client about goals, preferences, and what has or hasn’t worked before. Together they will try methods that fit the person’s needs and adjust the plan as progress is made.

Confirm the available session formats before booking so you know how meetings will be held. Online therapy can make it easier to fit counseling into a workday, reduce travel time, and allow follow-up check-ins without a long commute. It also makes it practical to practice skills in everyday settings and bring real-life examples to sessions. Ask about current scheduling options and how sessions are arranged to find a setup that works with your routine.