Rebecca Preston, LMHC

Rebecca Preston is a Licensed Mental Health Counselor practicing in New York. She has eight years of clinical experience working mainly with people affected by substance use and the emotional and relational challenges that come with it. Rebecca uses straightforward language and a warm, down-to-earth manner in sessions. Her background includes work with people who have histories of complex trauma and childhood attachment issues. She also supports those coping with mood disorders such as anxiety, depression, and bipolar conditions, as well as a range of personality concerns. Rebecca has experience helping people with grief, stress, sleep problems, low self-esteem, and ADHD. Rebecca blends mindfulness practices with client-centered care to build practical skills. Cognitive Behavioral Therapy (CBT) is also part of her approach when people want to learn tools to change unhelpful thinking and behaviors. She aims to make therapy approachable and even a little playful when appropriate. Sessions focus on teaching coping skills, improving communication, and addressing patterns that keep people stuck. Rebecca places emphasis on understanding how early attachment experiences shape relationships and emotional reactions. She helps clients practice self-compassion as part of their recovery journey. Rebecca sees each person as an individual and works together with them to set realistic goals. She frames recovery as an ongoing process and offers concrete tools and steady support to help people move forward.

How Rebecca brings evidence-based approaches online

Rebecca commonly uses Cognitive Behavioral Therapy and Attachment-Based and Client-Centered methods. CBT focuses on identifying and changing unhelpful thoughts and behaviors, and it is useful for anxiety, depression, sleep problems, and managing mood symptoms. Attachment-Based work looks at how early relationships influence current patterns and can help with attachment issues, abandonment concerns, and relationship struggles. Client-Centered Therapy emphasizes listening, empathy, and meeting people where they are to build trust and personal insight.

Finding the right approach is part of the work together. Rebecca will discuss goals, preferences, and the problems you want to solve, then suggest methods to try. The plan is collaborative and can change as needs shift over time.

Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to fit different schedules and styles. Video gives face-to-face connection for skill work and tracking progress. Phone sessions can be easier when bandwidth is limited or when you need a simpler check-in. Live chat and text messaging are useful for short updates, reflections between sessions, or people who prefer written communication. These options make it easier to fit therapy into a busy life while working toward clear, practical goals.