Genevieve (Genny) Gravina

Genevieve (Genny) Gravina is a New York Licensed Mental Health Counselor (LMHC) with six years of clinical experience who works with stress, anxiety, relationship concerns, self-esteem, depression, and life purpose issues. She helps people cope with life changes and common day-to-day struggles like sleep and eating problems. Sessions also address intimacy-related issues, parenting strains, ADHD, and compassion fatigue. Genny uses several therapy methods to help people name problems and try manageable steps forward. She draws on client-centered therapy to focus on each person’s perspective. She also uses cognitive behavioral tools to test thoughts and behaviors, and dialectical behavior ideas for emotion regulation and distress tolerance. Her work includes attention to attachment, communication problems, codependency, and body image. People bring concerns such as guilt, shame, isolation, or questions about life purpose. She also supports those dealing with mood and personality disorders and seasonal affective disorder. In sessions she helps clients identify practical changes and small experiments they can try between meetings. Conversations tend to be direct and focused on what someone wants to change. She pays attention to patterns in relationships and daily routines that affect mood and functioning. Genny practices in New York and offers services in English. To begin, people complete a short matching questionnaire and schedule an initial session to talk about goals and next steps.

How her approaches translate to online work

Client-centered therapy focuses on the person's experience and priorities, with the therapist listening closely and reflecting what matters most. This approach helps when someone is deciding what to change or what to try next. Cognitive Behavioral Therapy (CBT) identifies unhelpful thoughts and tests small behavior changes to see what helps reduce anxiety or low mood. Dialectical Behavior Therapy (DBT) offers concrete skills for managing intense emotions and improving distress tolerance, which can be useful for relationship strain and overwhelm.

Finding the right mix of approaches is part of the process. The therapist works collaboratively to choose methods that fit a person’s goals and daily life. Initial sessions are used to clarify what someone wants to work on and to try an approach that feels practical and doable.

Confirm the specific session options before booking since formats are not specified in the profile. Online sessions can make it easier to fit therapy into a busy schedule, allow for shorter check-ins when needed, and reduce travel time. Some people prefer video to work through emotion-focused material, while others choose audio for shorter or lower-bandwidth meetings. The therapist and client decide together which format suits the client’s needs and availability.