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Toni Spera

Therapist profile

Toni Spera, LCSW

New York

LCSW - Relationships and addiction support

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About

  • Client-Centered Therapy
  • Cognitive Behavioral Therapy
  • Motivational Interviewing

About Toni

Toni Spera is a Licensed Clinical Social Worker (LCSW) licensed in New York with five years of professional experience. She focuses on concerns commonly felt at home and in close relationships, including addiction, relationship strain, trauma and abuse, anxiety, depression, parenting stress, grief, and issues related to LGBT identity.

Toni works from the view that each person knows their own story and brings strengths to difficult situations. She uses clear, direct conversation to help people identify what is getting in the way of change. Sessions aim to break problems into manageable steps so progress feels practical rather than overwhelming.

Her approach draws on client-centered methods that prioritize the person's goals. She also uses cognitive behavioral techniques to spot and shift unhelpful thinking patterns. Motivational interviewing supports readiness to change when someone is feeling stuck.

Toni has worked with people coping with a wide range of concerns, from process and substance addictions to compassion fatigue and first responder stress. She also addresses issues such as codependency, sexual assault, divorce and separation, and geriatric concerns when those come up in a person's life.

In sessions she keeps the focus on what the person wants to achieve next. She helps set small, realistic goals and practices skills between sessions. The tone is straightforward and practical, aimed at helping people make steady, usable changes in how they handle stress and relationships.

How sessions work

How Toni’s approaches translate to online work

Toni commonly draws on client-centered work and cognitive behavioral therapy in sessions. Client-centered therapy means conversations focus on the person's own goals and priorities, with the therapist helping clarify what matters most. Cognitive behavioral therapy looks at patterns of thought and behavior and teaches practical skills to change them, which can be useful for anxiety, depression, and relationship stress.

She also uses motivational interviewing to help people find reasons to make a change when ambivalence is present. That approach is short-term and goal-focused, helping someone move from thinking about change to taking concrete steps. Together, these methods aim to create clear actions a person can try between meetings.

Finding the right approach is part of the work. Toni will collaborate with each person to decide which methods fit their needs and goals. She adjusts plans based on how someone responds and the practical challenges they bring to sessions.

Session format options are not specified in the biography, so confirm current session types before booking. Many people choose online sessions because they can fit appointments into a busy day, choose a shorter check-in when needed, or avoid travel time. Talk with Toni during the matching process about what will work best for your schedule and circumstances.

Areas of focus

Areas of expertise

Primary focus

AddictionsLGBTRelationship issuesTrauma and abuseCompassion fatigue

Also works with

Stress, AnxietyFamily conflictsGriefParenting issuesAnger managementSelf esteemBipolar disorderDepressionCoping with life changesCoaching

Additional focus areas

Aging and geriatric issuesBDSM, kink, and alternative sex cultureCodependencyCoping with natural or human-caused disasterDivorce and separationDomestic violenceDrug and alcohol addictionFirst responder issuesVeteran and Armed Forces IssuesPersonality disordersPost-traumatic stressProcess addiction (porn, exercise, gambling)Self-loveSex addictionSexual assault and abuseWomen's issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational Interviewing

Experience

5+ years

Listed in

New York

Languages

English

Questions

Frequently asked questions

What kinds of problems does she help with?

She supports adults with addiction, relationship strain, trauma and abuse, anxiety, depression, parenting stress, grief, and related concerns.

How would she describe her therapeutic style?

She uses straightforward conversation and practical steps, focusing on strengths and small goals you can try between sessions.

What is her experience background?

She has five years of professional experience working with issues such as substance and process addictions, trauma, compassion fatigue, and first responder stress.

What are her credentials and where is she based?

She is an LCSW licensed in New York and practices from that location.

Does she work in languages other than English?

Sessions are offered in English.

Can people outside the United States book with her?

She does not accept international clients at this time.

How does pricing work for sessions?

Cost varies with location and sessions use a subscription model that can be canceled at any time.

What are the first steps to begin working together?

Select the See online therapy options button, complete the short matching questionnaire, and schedule your first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.

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Toni Spera

Continue with Toni