Mary Acosta-Granger, LCSW

Mary Acosta-Granger is an LCSW with a long history helping adults who want to make real changes in their lives. She often sees people struggling with anxiety, depression, communication problems, grief, substance concerns, and stress from caregiving or life transitions. She speaks English and Spanish and offers warm, direct support for practical problems.

Her approach is straightforward and interactive. She combines Cognitive Behavioral Therapy (CBT) with client-centered methods and skills-based strategies to help people change unhelpful thoughts and behaviors. Sessions are collaborative - goals are set together and adjusted as progress is made.

Mary has worked with a broad range of needs across many years, from serious mental illness to everyday concerns that get in the way of feeling satisfied. She pays close attention to relationship and intimacy issues, blended family stress, and concerns common to veterans and multicultural clients.

Therapy with her often focuses on learning specific skills for communication, emotion regulation, and coping. She uses practical exercises, mindful awareness, and problem-solving tools so clients can try things between sessions and notice what helps.

She tailors the pace and techniques to each person, combining experience with current, well-researched methods. Mary aims to be respectful, nonjudgmental, and compassionate while working toward clear, achievable changes.

How therapeutic approaches translate to online care

Mary blends Cognitive Behavioral Therapy and client-centered work to guide online sessions. Cognitive Behavioral Therapy focuses on identifying patterns of thought and behavior that cause distress and on practicing small, practical changes to reduce symptoms like anxiety and depression. Client-centered therapy centers on listening, empathy, and building a trusting working relationship so clients feel heard and can explore goals at their own pace.

Finding the right approach is part of the process. Mary works with each person to choose methods that fit their goals and preferences, and she adjusts plans as needs change. That collaboration helps match techniques like skills training or mindful awareness to real-life challenges the client wants to address.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging. Video lets people work face-to-face from home or elsewhere, phone sessions can be easier when bandwidth is limited, live chat suits shorter check-ins, and messaging supports ongoing reflection between meetings. These options make it easier to schedule sessions around work, caregiving, or travel while keeping therapeutic momentum.