Susanna Guarino


About Me

Perhaps you're feeling anxious or more down than usual, struggling with a recent loss, or having difficulty with relationships in your life. Therapy can help you to learn about yourself, develop the skills to deal with difficult interpersonal relationships, and make many other positive changes. I'm a licensed mental health counselor in New York State and Rhode Island with a MS in Mental Health Counseling from St. John Fisher College and a B.A. in English Literature from SUNY Geneseo. I have experience in working with adults who may be dealing with relationship issues, career indecision, anxiety, sexual dysfunction, low self-esteem and other issues.

I take a person-centered, strengths-based approach, which means therapeutic work will be collaborative and I will listen deeply to you without judgment. I believe most people in the world could benefit from talking to a therapist once in awhile! Narrative therapy techniques and existential theory also inform my work.

It takes courage and self-awareness to begin the counseling process. I look forward to working with you!


  • Stress, Anxiety
  • Relationship issues
  • Family conflicts
  • Intimacy-related issues
  • Self esteem

I also have experience in Addictions, LGBT, Trauma and abuse, Grief, Eating disorders, Parenting issues, Anger management, Career difficulties, Bipolar disorder, Depression, Coping with life changes

Years of Experience: 4

Services Offered

  • Messaging

  • Live Chat

  • Phone

  • Video


LMHC #009186 (Expires: 2021-10-01)

LMHC #MHC01061 (Expires: 2020-07-01)


Written by V.A. on Dec 19, 2019 after counseling with Susanna for 2 weeks

I have found this experience chatting messaging and video chatting helpful and are able to be connected off and on throughout the week. I like the journaling that I can send to my counselor.

Written by T.O. on Nov 02, 2019 after counseling with Susanna for 4 months on issues concerning depression, stress, anxiety, self esteem, and career difficulties

Susanna is positively great. She listens and reads everything so carefully and thoughtfully. The best thing is she brings up things I never thought to think about or rather, new ways of looking at my issues. She also doesn't give answers, she makes me explore my feelings and come up with my own which has been such a helpful part of the process.