Genevieve (Genny) Gravina, LMHC

Genevieve (Genny) Gravina offers a straightforward, skills-focused approach built around cognitive behavioral therapy (CBT). She emphasizes practical steps people can try right away to manage anxiety, low mood, stress, and relationship strains. Genny presents herself with a calm, nonjudgmental manner that aims to make hard conversations easier to start.

Genny is a licensed mental health counselor, LMHC, and has six years of clinical experience in New York. She works with adults on issues such as anxiety, depression, bipolar mood shifts, parenting challenges, and compassion fatigue. Her practice also addresses eating and sleeping concerns, ADHD-related struggles, and problems with intimacy and self-esteem.

Her style blends CBT with client-centered care and mindfulness techniques. That means sessions often include talking through problems, identifying unhelpful thought patterns, and practicing concrete skills to change behavior. She also draws on dialectical behavior therapy and narrative ideas when useful to help people manage strong emotions and rewrite painful self-stories.

Genny pays attention to attachment and communication patterns that show up in relationships. She helps people work through codependency, family conflict, body image worries, social anxiety, and feelings of isolation. Sessions focus on clear goals and regular check-ins so progress is easy to track.

Therapy is offered in English. Genny provides video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs. New clients begin by completing a short matching questionnaire and then scheduling a session.

CBT, Mindfulness, and Client-Centered Care Online

Genny uses cognitive behavioral therapy (CBT) to help people spot unhelpful thinking and test new ways of behaving. CBT sessions focus on small, practical experiments and skills to reduce anxiety, improve mood, and tackle sleep or eating concerns. She pairs this with client-centered work that emphasizes the person's experience and goals, offering a supportive space to talk and reflect.

She also brings in mindfulness and dialectical skills when emotions feel overwhelming. Mindfulness practices teach simple ways to notice thoughts and bodily sensations without getting swept up in them. Dialectical techniques focus on regulating intense emotions and improving distress tolerance when situations feel out of control. Together these approaches help people learn new habits and respond differently to stressors.

Online therapy makes these methods flexible. Video calls allow face-to-face conversation and guided exercises. Phone sessions can fit a tight schedule or require less bandwidth. Live chat and text-based messaging are useful for brief check-ins, homework prompts, or ongoing support between sessions. Genny works with each person to choose formats and a pace that match their needs and daily life.