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Holly Spire

Holly Spire, LCSW-R

New York

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LCSW-R focused on anxiety and life changes

  • Client-Centered Therapy
  • DBT skills
  • Mindfulness methods

About Holly

Holly Spire is a Licensed Clinical Social Worker (LCSW-R) based in New York with 30 years of professional experience. She works with people facing stress, anxiety, grief, low self-esteem, depression, and big life changes. She also focuses on concerns such as body image, caregiver stress, eating and food-related issues, sexual assault and abuse, and young adult issues.

Holly listens first and helps people name what feels most urgent. She uses straightforward conversation to identify coping strategies that fit daily life. Sessions look at practical ways to manage anxiety, build confidence, and navigate loss without using jargon.

Her background includes long-term clinical work across settings where trauma and relationship harm are common. She draws on trauma-focused methods and somatic approaches to help people notice how stress shows up in the body and routine. Dialectical Behavior Therapy skills and mindfulness practices are tools she brings into sessions when useful for emotion regulation and distress tolerance.

Holly aims to help people recover a sense of steady functioning after hard experiences, including narcissistic abuse and sexual trauma. She frames clients as the experts on their own lives and supports them in testing new behaviors and boundaries. Practical problem solving, skill building, and gentle attention to bodily experience all feature in her work.

People often come to her when they feel stuck after school or early work transitions, when grief feels overwhelming, or when low self-worth limits daily choices. She encourages small steps that carry into everyday routines.

How Holly’s approaches translate to online sessions

Holly uses client-centered methods that prioritize the client’s observations and goals. This approach means conversations begin with what feels most pressing, then move to practical steps the client can try between sessions. It is helpful for people sorting out early-adulthood choices, stress, and changes.

She also works with Dialectical Behavior Therapy skills and mindfulness practices. DBT skills offer concrete tools for managing strong emotions and improving distress tolerance. Mindfulness practices focus on attention and grounding strategies that reduce rumination and help with day-to-day anxiety.

Finding a usable approach is a collaborative process. Holly will work with each person to identify which methods fit their needs, goals, and preferences. Together they decide what to try first and adjust as progress or challenges appear.

The biography does not list specific session formats, so confirm current options before booking. Many people prefer online work because it can fit study, work, and caretaking schedules more easily. Online sessions can make it simpler to keep appointments around class or shifts, avoid travel time, and use quieter surroundings or shorter check-ins when needed.

Areas of expertise

Additional focus areas

Body imageCancerCaregiver issues and stressDomestic violenceEating and food-related issuesNarcissismPost-traumatic stressSelf-loveSexual assault and abuseWomen's issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyDialectical Behavior Therapy (DBT)Mindfulness TherapySomatic TherapyTrauma-Focused TherapyInternal Family Systems

Experience

30+ years

Listed in

New York

Languages

English

Frequently asked questions

What types of issues does she help with?

She works with stress, anxiety, grief, low self-esteem, depression, and coping with life changes. Additional focuses include body image, caregiver stress, eating concerns, and young adult issues.

What is her approach in sessions?

She uses client-centered work with practical skill building, plus DBT skills and mindfulness when helpful. Sessions emphasize clear strategies for managing emotions and daily routines.

How much experience does she have?

She has 30 years of professional experience working in clinical settings. That experience includes work with trauma-related concerns and relationship harm.

What are her credentials and location?

She is an LCSW-R licensed in New York and practices from that state. No other credential or license information is provided.

Does she offer sessions in other languages or to international clients?

Sessions are offered in English. She is not accepting international clients at this time.

What session formats are available?

Confirm current session options before booking, as the biography does not list specific formats. Please check the platform for the latest session types offered.

How are session costs handled?

Cost varies with location and sessions use a subscription model that can be canceled at any time. Exact pricing depends on the chosen plan and region.

How do I begin working with her?

Use the See online therapy options button, complete the short matching questionnaire, and schedule a first session. That process starts the intake and scheduling steps.

Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.

Holly SpireLCSW-R

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