About Kristin
Kristin Puleo is a licensed mental health counselor who helps people facing anxiety, stress, relationship strain, low self-esteem, and the fallout from trauma. She speaks plainly and offers steady guidance for people who feel stuck, overwhelmed, or unsure which step to take next. Kristin brings 14 years of clinical experience to conversations about mood, motivation, and daily coping.
Her sessions focus on finding practical next steps rather than long lectures.
Background and approach
She listens for the patterns that keep a person stuck and then works with them to try small changes. Humor is used when appropriate to ease tension and make progress feel doable. Kristin blends several approaches to match each person’s needs.
She uses cognitive behavioral techniques to challenge unhelpful thoughts and acceptance and commitment ideas to clarify values and action. Attachment-based work and client-centered listening help bring more safety and understanding to relationship struggles. She supports people dealing with grief, addiction, bipolar and depressive symptoms, sleep and eating struggles, parenting stress, caregiving burdens, and career or life transitions.
Additional focus areas include abandonment, attachment issues, chronic illness and pain, and first responder concerns. Kristin practices as an LMHC in New York and offers work in English. Sessions may include phone, video, chat, or text-based messaging so people can choose what fits their life.
To begin, a short questionnaire and scheduling step helps match goals to the right format.
How Kristin’s Approaches Translate to Online Care
Acceptance and Commitment Therapy (ACT) focuses on helping people name what matters to them and take steps toward those values despite uncomfortable thoughts or feelings. It can be useful for anxiety, avoidance, and motivation problems. Cognitive Behavioral Therapy (CBT) helps people spot and change thinking patterns and behaviors that create distress, which is helpful for anxiety, depression, sleep problems, and some relationship challenges. Attachment-Based Therapy centers on how early relationship patterns shape current ways of connecting; it helps people understand and shift repeating interaction habits that cause pain.Finding the right approach is part of the work together. Kristin will talk with each person about their goals and preferences and then try methods that match those needs. She adapts techniques over time, checking in to see what feels helpful and what needs to change so the plan fits the client’s life.
Online formats include video calls, phone sessions, live chat, or text-based messaging. Video is useful for in-depth conversation and skill practice. Phone sessions are a good option when bandwidth is limited or when someone prefers not to be on camera. Live chat or text messaging can be used for brief check-ins, coaching-style support, or to fit therapy into a busy day. These options make it easier to keep continuity of care and to use approaches like ACT and CBT in ways that match a person’s routine.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Divorce and separation
- Eating disorders
- Family problems
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Trauma and abuse
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Eye Movement Desensitization and Reprocessing (EMDR)
- Gottman Method
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
- Experience
- 14 years
- Licensed
- New York
- Languages
- English
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