- Stress and anxiety
- Life changes
- CBT and ACT
About Madeline
Madeline Libretti is a Licensed Clinical Social Worker (LCSW) practicing in Florida with five years of clinical experience. She focuses on life changes, stress, anxiety, depression, relationship and family concerns, and issues that affect daily functioning such as sleep, eating, and parenting. Madeline also lists work around addiction, ADHD, grief, trauma and abuse, and intimacy-related concerns.
Her background includes a Master of Social Work from New York University and a Master in Experimental Psychology from St. John’s University. Early in her career she worked in a New York hospital system, supporting pregnant and postpartum people, families with infants in the NICU, and patients across pediatrics, general medicine, and the emergency department. For the past two years she has provided short-term counseling in a primary care clinic for adults facing new medical diagnoses, chronic health conditions, and related mental health challenges.
Madeline describes her style as collaborative, goal-oriented, and client-centered. She uses practical tools and skills drawn from cognitive behavioral approaches, problem-solving modules, and solution-focused work. Sessions typically involve setting concrete goals, practicing coping skills, and checking progress between meetings.
Since the COVID-19 pandemic she has worked with adults virtually and has led a virtual support group addressing pandemic-related stress. She frames therapy as a team effort and focuses on helping people build habits and tools they can use outside sessions.
People often seek her help when they feel stuck after a job change, a shift in relationships, or a health event. She works with adults to clarify next steps, reduce overwhelm, and develop manageable plans for moving forward.
How ACT, CBT, and client-centered work translate to online sessions
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and values-driven action. It helps people clarify what matters to them and take small steps toward those priorities even when emotions are difficult. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and behaviors and uses practical exercises to shift patterns that keep people stuck. Client-Centered Therapy centers the person’s priorities and pace, using reflective listening and collaboration to shape goals and next steps.Finding the right mix of approaches is part of the work. The therapist will discuss goals, symptoms, and daily routines and then recommend techniques that fit the person’s needs and preferences. That decision is made together and can change as progress is tracked.
The biography does not list specific session formats here, so confirm current options before booking. Online work can make it easier to fit therapy into a busy life by reducing travel, allowing shorter check-ins around work or caregiving, and offering sessions from wherever quieter surroundings are available. Therapists and licensed professionals often use a mix of structured skill-building and conversational check-ins that translate well to remote sessions, helping people practice tools between meetings and track small changes over time.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
5+ years
Listed in
Florida
Languages
English
Frequently asked questions
What concerns does she help with related to life direction?
She works with stress, anxiety, depression, coping with life changes, career questions, and feelings of emptiness as people consider what comes next.
How would she approach feeling stuck or directionless?
Her approach is collaborative and goal-oriented. She uses tools from CBT, ACT, and solution-focused work to set clear steps and practice coping skills between sessions.
How much clinical experience does she have?
She has five years of clinical experience working in hospital, maternal child health, and primary care clinic settings with adults and families.
What are her credentials and where does she practice?
She is a Licensed Clinical Social Worker, FL LCSW, and practices in Florida.
Does she offer sessions in languages other than English?
Sessions are offered in English.
Can people outside the US work with her?
She does not accept international clients at this time.
How much do sessions cost and how are they billed?
Cost varies with location, and sessions use a subscription model that can be canceled at any time.
How do I begin the process of working together?
Start by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.