Steven Sanfilippo , LMHC

Steven Sanfilippo is a Licensed Mental Health Counselor (LMHC) based in New York who helps people navigate a wide range of emotional and interpersonal challenges. He works with individuals experiencing depression, anxiety, self-doubt and low self-esteem, relationship struggles, trauma, grief, and issues related to intimacy, sleep, anger, and addiction. He also supports those facing career concerns or questions tied to identity and belonging, including members of the LGBT community.

Steven takes an eclectic, client-focused approach, drawing from cognitive and behavioral methods, dialectical behavior therapy - DBT, motivational interviewing, psychoanalytic ideas, and mindfulness-based practices to tailor treatment to each person. His aim is to meet people where they are, whether they seek relief from specific symptoms or want to explore deeper life questions and personal growth.

Open to integrating spiritual practice when it is meaningful to the individual, he offers flexible support and can include guidance on regular practice if requested. Comfortable working with people from diverse cultural backgrounds and with different abilities, Steven emphasizes collaboration and respect as he helps clients clarify goals and develop practical strategies for change.

Therapeutic Approaches and Online Support

Steven offers Client-Centered Therapy, which focuses on creating a supportive, nonjudgmental space where the person leads the pace and direction of change and the therapist provides empathy and practical feedback - this approach is helpful for building self-understanding and confidence. He also uses Dialectical Behavior Therapy - DBT to teach skills in emotion regulation, distress tolerance, and interpersonal effectiveness, which can be especially useful for intense emotions and relationship challenges. Mindfulness Therapy is incorporated to help people develop present-moment awareness and reduce reactivity, supporting work with anxiety, stress, and everyday mental strain.

Finding the right combination of approaches is part of the therapeutic process. Steven collaborates with each person to identify goals, preferences, and what feels most helpful, adjusting methods as needed to fit the client’s situation. This collaborative stance helps ensure treatment matches both immediate needs and longer-term aims.

Online therapy with Steven is offered via video calls, phone sessions, live chat, or text-based messaging to provide flexibility for different schedules and comfort levels. These options make it easier to connect with licensed professionals and therapists from varied locations and allow sessions to fit into busy lives while maintaining consistency in care.