Anna Marasco , LCSW

Anna Marasco is a Licensed Clinical Social Worker (LCSW) with 11 years of experience working with trauma, dual diagnosis, and addiction. As an LCSW she has advanced training in clinical social work and psychotherapy and applies that background to support people facing complex emotional and behavioral challenges.

Her practice is grounded in a humanistic, client-centered philosophy that approaches behaviors and maladaptive coping - including substance use, self-harm, and emotional dysregulation - as learned survival strategies rather than fixed character traits. She operates from a stance of curiosity and compassion, assuming that each person is trying their best and inviting both the difficult, hidden parts of experience and the moments of joy and success into the therapeutic process. She emphasizes understanding the many layers of a person rather than offering only prescriptive coping tricks.

Marasco has worked with a wide range of diagnoses and concerns, including PTSD, complicated grief and loss, gender identity issues, anxiety, depression, ADD/ADHD, suicidality, autism, addictions, personality disorders, OCD, relationship difficulties, life transitions, and questions of meaning and purpose. Outside of clinical work she holds a Master of Fine Arts in creative writing and is an avid equestrian who often mentions her horse, Henry. She recognizes that searching for a therapist is an important step and encourages people to give themselves credit for taking that step toward healing.

Therapeutic Approaches and Online Care

Anna Marasco draws on several complementary approaches to tailor care to each person. Attachment-Based Therapy explores how early relationships shape emotional patterns and interpersonal needs, helping people address attachment issues, abandonment concerns, and relational patterns that affect current functioning. Client-Centered Therapy focuses on creating a respectful, nonjudgmental space where the client’s goals guide the work and the therapist offers empathy and support to foster self-directed growth. Cognitive Behavioral Therapy (CBT) helps identify and shift unhelpful thinking and behavior patterns, offering practical tools for managing anxiety, depression, and stress.

Choosing an approach is collaborative. Anna will work with each person to understand their needs, goals, and preferences and will adapt methods over time to find the best fit for meaningful progress. The therapeutic plan evolves based on what helps most in practice.

Online therapy formats - including video calls, phone sessions, live chat, and text-based messaging - make it easier to fit therapy into a busy life and to access care from home or another convenient location. These options provide flexibility in scheduling and in how people communicate with licensed professionals and therapists, allowing sessions to match personal comfort and practical needs.