About Mara
Mara Sambugaro Framesqui greets people who feel stuck, overwhelmed, or unsure how to move forward. She is a Licensed Mental Health Counselor (LMHC) practicing in New York with five years of clinical experience. Her style is straightforward and steady, focused on small steps that add up over time.
Mara helps people reduce anxiety and stress and work through low mood and self-esteem struggles. She also supports those facing relationship strains and family tensions, addressing patterns like codependency, attachment wounds, and communication problems.
Background and approach
Sessions aim to identify helpful changes and build practical coping skills. Her work starts by listening to a person's story and mapping how past experiences affect today. From there she and the client try new ways of thinking and behaving to replace unhelpful patterns.
The process is paced to each person's comfort and readiness for change. Mara draws on evidence-based therapeutic techniques to address mood challenges, obsessive thoughts or compulsive patterns, and issues linked to control or abandonment fears. She also brings attention to multicultural concerns and how culture shapes relationships and identity.
She offers sessions in English, Italian, and Portuguese. People meet with her online by video or phone, or through chat and text-based messaging. To begin, users complete a short matching questionnaire and schedule sessions through the Start Therapy flow.
Evidence-based approaches and online care
Many clients benefit from therapies that focus on patterns and practical skills. One common approach she uses helps identify how early attachment and relationship patterns shape current behavior, then practices new ways of relating to reduce repeated conflicts and abandonment fears. Another approach emphasizes skill-building for mood and anxiety management, teaching grounding, breathing, and thought-restructuring techniques to reduce overwhelming feelings and compulsive reactions.Choosing the right approach is a collaborative process. The therapist will listen to a person's history, goals, and preferences, then suggest methods to try and adjust based on what helps most. Clients and therapist check in regularly to tailor the plan and pace progress together.
Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy more flexible. Video works well for a deeper face-to-face conversation, phone can be easier when bandwidth is limited, and chat or text are useful for brief check-ins or when typing feels more comfortable. These options let people fit sessions around work, caregiving, or travel while keeping continuity of care.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also works with
- Abandonment
- Attachment issues
- Avoidant personality
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Depression
- Domestic violence
- Emptiness
- Family problems
- Forgiveness
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Personality disorders
- Self esteem
- Self-harm
- Self-love
- Women's issues
- Experience
- 5 years
- Licensed
- New York
- Languages
- English, Italian, Portuguese