Psychotherapy for Change That Lasts
Thoughtful, direct psychotherapy focused on clarity and real-life change.
Daytime virtual psychotherapy for adults in New York and New Jersey.
For people who are doing “fine,” but know something is off
Many of the people who come to work with me have a sense that something in their life isn’t quite right, even if nothing looks obviously wrong on the outside.
They often feel pulled in different directions, unsure which internal signals to trust, and frustrated by how hard it is to make clear decisions despite having insight, resources, or support.
Over time, the work focuses on learning how to tell the difference between anxiety and intuition, guilt and responsibility, and old patterns and present day choices.
That clarity becomes the basis for decisions that feel more deliberate, less reactive, and easier to stand behind.
About My Work
I focus on what is happening in your life now, while paying close attention to the patterns shaping how you think, relate, and make decisions.
We use practical, supportive tools to help manage what feels overwhelming or intense in the present, while also looking closely at what is actually driving your reactions and choices.
From there, we work toward change that holds up over time, because decisions are based on a clearer understanding of yourself, not habit, pressure, urgency, or fear.
What It’s Like to Work Together
Clients often describe sessions as focused, conversational and intentional, with space to think, reflect, and talk through practical ways of managing what comes up in between sessions.
We pay close attention to what you are responding to and why, especially in moments that feel confusing, emotionally charged, or familiar in ways you can’t quite explain.
Over time, this leads to clearer boundaries and decision making, not because someone is telling you what to do, but because you are better able to recognize what fits and what does not.
How This Shows Up in Real Life
Over time, people often notice changes that come from having more clarity about themselves and their reactions:
• anxiety feels more manageable
• reactions feel less automatic
• boundaries feel clearer
• relationships feel less confusing
• decisions feel easier to trust
Change tends to be cumulative, shaping how you respond over time.
Who I Work With
This work tends to be a good fit for people who value clear thinking, honest reflection, and making thoughtful decisions about their lives.
Many are high functioning, self aware, and motivated, but are tired of overthinking, second guessing, or repeating patterns that no longer make sense.
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Anna Keylina, LCSW
How I Work
I ask direct questions, reflect patterns as they emerge, and help organize experiences that feel overwhelming or hard to articulate.
We talk about what happens between sessions as well as what unfolds in the room. Practical tools are used when helpful, especially for managing anxiety or emotional intensity, and are connected to deeper understanding rather than used in isolation.
People who work with me often want a therapist who listens closely, thinks carefully, and doesn’t rush the process. Sessions are calm, focused, and intentional, with space to slow down and understand what matters to you.
My role is to actively translate insight into real-world change that continues beyond the therapy room.
Let’s Connect