Anna Cognetto, LCSW-R

Anna Cognetto is a licensed clinical social worker in New York with 44 years of experience. She focuses on helping people who are managing depression, addiction, relationship strain, and LGBT-related concerns. Her work centers on practical steps people can use day to day.

She has long experience supporting those recovering from drug and alcohol problems and people coping with codependency. She also helps individuals working through mood disorders and post-traumatic stress. Veterans and people facing gender dysphoria have been part of her practice.

Anna uses straightforward methods that aim to change unhelpful thoughts and behaviors. She brings approaches such as cognitive behavioral therapy and acceptance and commitment therapy into sessions when they fit a person's needs. Mindfulness and trauma-focused techniques are also part of her toolbox.

Sessions are collaborative and paced to what each person can manage. She listens for strengths and then helps build practical skills for managing symptoms and daily challenges. Goals are concrete and tied to the client's life context.

Her style is warm and purposeful. People who prefer direct, skill-based work alongside empathetic listening often find this approach useful. To get started, clients complete an intake process and schedule sessions that match their needs.

How CBT, ACT and Mindfulness work online

Anna often draws on cognitive behavioral therapy to help people notice and change patterns of thinking and behavior that keep problems going. CBT sessions focus on clear skills and short experiments clients can try between meetings to test new habits.

She also uses acceptance and commitment therapy, which helps people clarify personal values and take meaningful action even when hard feelings are present. Mindfulness therapy is used to teach present-moment strategies that reduce reactivity and improve emotional regulation.

Choosing the right approach is a team effort. The therapist and client review goals, symptoms, and day-to-day limits and then try methods that fit best. Adjustments happen as work progresses so the plan stays practical and useful.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face conversations and skill practice, phone sessions are a good low-bandwidth option, chat is useful for brief check-ins, and messaging supports reflection between sessions. These options make it easier to fit therapy into work, family, and recovery schedules.