Tina Salerno, LMFT

Tina Salerno is a licensed marriage and family therapist who helps people manage stress, anxiety, depression, addictions, grief, and relationship struggles. She brings 31 years of clinical experience and a steady, practical style to sessions. Tina uses clear, goal-focused work to help people make changes that matter in daily life.

Tina focuses on building coping skills and improving communication. She often uses Cognitive Behavioral Therapy to identify unhelpful thoughts and change behaviors. She also draws on client-centered techniques to make space for each person's values and goals.

In sessions she mixes skill teaching with guided conversation. That can mean learning concrete tools for sleep or anxiety, practicing ways to set boundaries, or tracking patterns that keep problems going. Her approach is direct but warm, aiming for progress that feels doable.

Tina has worked across many concerns over her career, including trauma and abuse, parenting stress, body image, ADHD, and caregiver fatigue. She also supports people dealing with intimacy issues, career uncertainty, bipolar disorder, and eating or sleeping problems.

She offers therapy in English and Armenian and accepts international clients. Sessions can be arranged by selecting Start Therapy and completing a short matching questionnaire to schedule a time that fits the client.

How Tina’s approaches translate to online care

CBT, or Cognitive Behavioral Therapy, helps people notice and change unhelpful thoughts and behaviors. It is often used for anxiety, depression, sleep and eating problems, and coping with stress. Client-Centered Therapy focuses on listening and building a trusting, respectful working relationship so clients can find their own answers. Dialectical Behavior Therapy, or DBT, combines skills training for emotion regulation, distress tolerance, and communication; it can help with strong emotions, relationship conflict, and self-management challenges.

Finding the right approach is part of the work. Tina will collaborate with each client to choose methods that match their needs, goals, and preferences. That may mean using CBT tools for short-term symptom relief, returning to client-centered conversation to explore values, or adding DBT skills when intense emotions make daily life hard.

Online sessions make it easier to fit therapy into life. Video calls allow face-to-face conversation and skills practice. Phone sessions can be a good option when bandwidth is limited or when a shorter check-in is needed. Live chat and text-based messaging offer ongoing contact between sessions, quick reminders, or brief exercises that are simple to use during the day. These formats increase flexibility and help people continue progress without long travel or schedule barriers.