Anna Marasco, LCSW

Anna Marasco is a licensed clinical social worker with 11 years of experience helping people navigate trauma, addiction, anxiety, depression, and grief. She uses a direct, human approach and expects to talk honestly about what is hard. Anna invites clients to bring the messy parts of their lives into the room alongside their strengths. Her style centers on meeting people where they are and treating coping behaviors as learned survival skills rather than character flaws. Sessions focus on understanding how patterns developed and on practical steps toward goals the client sets. She aims to be an advocate and a steady presence while clients practice new ways of handling distress. Anna adapts methods to fit each person instead of sticking to a single script. She draws on attachment-based ideas, client-centered principles, cognitive behavioral techniques, dialectical strategies, and EMDR when appropriate to the situation. The emphasis is on what helps in daily life rather than repeating generic coping tips. Her background includes work with trauma, dual diagnosis, addiction, PTSD, complicated grief, gender identity concerns, ADHD, suicidality, autism, personality disorders, OCD, and relationship transitions. This variety informs a flexible approach that considers the many layers of someone’s life. Outside clinical work she holds a Master of Fine Arts in creative writing and spends time with her horse, Henry. She frames therapy as collaborative work - she won’t do the work for you, but she will support and believe in your capacity to change.

How Anna’s Approaches Work Online

Attachment-Based Therapy focuses on patterns in close relationships and how early connections shape current reactions. It can help people who struggle with trust, fear of abandonment, or repeated relationship conflicts.

Client-Centered Therapy emphasizes listening without judgment and following the client’s lead. This approach helps people feel seen while they identify their own goals and start making changes at their own pace.

Cognitive Behavioral Therapy, or CBT, looks at the thoughts and behaviors that keep problems going and teaches practical skills to shift them. It is often used for anxiety, depression, and stress-related issues.

Finding the right approach is part of the work. The therapist will talk with the client about symptoms, goals, and preferences and suggest methods that fit. Decisions about which techniques to use are made together and can change as progress is made.

If you are considering online therapy, confirm the available session formats before booking since formats were not specified in the biography. Online work can make it easier to fit appointments into a busy week, allow shorter check-ins when time is tight, and reduce travel time. Therapists can also adjust activities for video or phone conversations, such as using guided exercises, homework, and grounding techniques that translate to remote sessions.