Psychotherapy for Women in New York State

Rosemary Esperanza, LCSW offers bilingual (English/Spanish) psychotherapy to women across New York State via telehealth who are looking for relief from anxiety, burnout, stress, depression, relationship problems, trauma wounds, or life transitions.

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Woman sitting peacefully near a window, representing healing and safety in telehealth therapy

Life may be looking a little differently for you these days. And while you've been trying to manage on your own for a while, you've now come to realize that it might be time to talk to someone who can actually help you make sense of things. That takes courage. Perhaps you're currently going through a life transition, divorce, breakup, loss of a loved one, or are feeling stuck. Perhaps you excel at managing the high stakes of your career, home, and family, but the constant stress has been leaving you feeling exhausted, overwhelmed, and empty by the end of the day. If you're here, it's because you're curious about how therapy can actually help you work through this. I can tell you that my approach is collaborative, direct, and supportive. What many who work with me say about me and my style is that I am real. I show up. And I am committed to this work. If you find yourself drawn to what you’ve read and to my approach, request a 15-Minute Video Consultation. I’ll be honored to walk this journey with you.

I offer psychotherapy in English or Spanish/Spanglish for women across New York State.

Therapy Highlights

Trauma-Informed Approach

Every session is guided by evidence-based practices that honor your story and support your journey at your own pace.

Personalized Care

Your therapeutic journey is tailored specifically to your unique needs, goals, and circumstances.

HIPAA Compliant

Your privacy is paramount. All sessions and records comply with federal privacy standards.

Culturally Responsive

Therapy that understands and honors your cultural identity, traditions, and the strength of your heritage.

Areas of Focus

Her are some areas of focus that I can help you navigate: - Therapy for anxiety, burnout, and over-functioning - Therapy for difficult family relationships and boundaries - Therapy for life transitions such as a new career/job; divorce/break-up; move - Therapy for complex trauma (childhood trauma; intimate partner violence) - Therapy for low self-esteem and people-pleasing behaviors
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Therapy space for women

Therapeutic Approaches

My approach is eclectic by design. Everyone is different and what works for one person, may not necessarily work for you. I shape my work around the person in front of me. Whether it's intergenerational patterns or past wounds, the approach will depend on what may be fitting in that moment. Anxiety and depression grow where pressure builds, and I help women untangle how those pieces intersect. We live in a world that tells women they should be able to do it all and the truth is, we were not designed to carry the world on our shoulders. That hyper-independence is actually wearing you out and I'm happy to see that you are ready to put yourself first. I honor your strength and I'm glad you're here.

Evidence-Based

Integrating proven therapeutic approaches including cognitive behavioral therapy, schema therapy, interpersonal therapy, motivational interviewing, and parts work

Trauma-Informed

Centering safety, trust, and agency in every session

Culturally Responsive

Honoring your cultural identity, values, and lived experience

FAQs

Therapy FAQ

Still can’t find the answer? Contact me here:
therapy@rosemaryesperanzalcsw.com
  • I focus on supporting women who feel overwhelmed, disconnected, or stuck in survival mode. Primary areas include: • Anxiety • Depression • Relationship and family stress • Identity crisis • Low self-esteem • Complex Trauma • Life transitions and emotional stagnation
  • I provide psychotherapy to adult women living in New York State.
  • My practice is designed for outpatient, scheduled telehealth therapy, which means I’m not able to provide the level of immediate, high-contact support that a crisis requires. For that reason, I’m not the best fit for someone who is currently in crisis, experiencing active suicidal thoughts, or has a recent history of suicide attempts that may require closer monitoring or a higher level of care. This isn’t about judgment—it’s about making sure you get the right kind of support, right away. If you’re feeling unsafe or at risk of harming yourself, please call or text 988 (U.S. Suicide & Crisis Lifeline), call 911, or go to your nearest emergency room. If you’re looking for ongoing therapy and need more intensive support at this time, I can help guide you toward resources that are better equipped to care for you. In addition, I’m not able to work with clients who are currently involved in an active legal court case for any reason. My role is to provide a therapeutic space for healing, not to participate in legal processes and I do not provide court-related documentation or testify in trials.
  • I use an eclectic, evidence-based approach informed by: • Schema Therapy • Cognitive Behavioral Therapy (CBT) • Parts Work • Strengths-based interventions • Emotion regulation skills • Mindfulness-informed strategies • Somatic Therapy • Interpersonal Therapy All treatment is individualized to your needs and goals
  • Therapy is collaborative, structured, and centered on helping you understand patterns, regulate emotions, strengthen boundaries, and reconnect with your authentic self. You guide the goals; I provide clinical expertise to support your progress.
  • I offer secure virtual sessions only, available to clients located anywhere in the state of New York.
  • I am currently in Network with Aetna and Cigna. I will provide a monthly super bill for clients who wish to request out-of-network reimbursement from their insurance provider. Please contact your insurance company to understand your out-of-network deductibles, co-insurance, and to verify if a referral or prior authorization is required. I also provide a sliding scale rate to keep therapy affordable. If you'd like to explore this option, I will be happy to discuss this with you during our consultation meeting.
  • Rates are something we'll go over together during our initial consultation. I also offer a sliding scale to keep therapy accessible, so if that's something you'd like to explore, we can discuss it then.
  • The length of therapy depends on your needs, goals, and the depth of the work. Some clients prefer short-term support, while others benefit from ongoing therapy to address deeper emotional patterns or trauma. We will revisit your goals regularly to ensure therapy remains aligned with your growth.
  • Yes, when done ethically, holistic elements can be integrated into therapy when aligned with your treatment goals. Research supports that when clinically appropriate holistic elements are integrated alongside evidence-based care, most benefit from a more comprehensive, whole-person approach that expands their capacity for self-care and supports overall wellbeing.
  • In our first session, we’ll take a grounded, comprehensive look at what’s bringing you in right now, and what you want to be different. We will also review onboarding paperwork and I will answer any questions that you may have. We’ll also begin to cover your history and the patterns that have shaped you, your current symptoms and stress responses, and the day-to-day challenges that are keeping you stuck or depleted. We’ll clarify your goals in real, lived terms (not just “feel better,” but what calm, steadiness, sleep, boundaries, and emotional safety actually look like in your body and in your life).
  • Sessions must be canceled or rescheduled within 48 hours in advance of your appointment. Missed appointments or late cancellations will be charged at $90 for the scheduled session.
  • Complete inquiry form. I will contact you to schedule a 15 minute consultation. During our meeting, we will discuss your therapeutic needs and determine next steps.
  • Yes. I provide therapy in English, Spanish, or both, depending on your preference.
  • Spanglish is the natural blend of Spanish and English that happens when both languages live in your everyday life. As an Afro Puerto Rican born and raised in Brooklyn, NY, I move fluidly between Spanish and English the way many Puerto Rican New Yorkers do - sometimes a word or phrase simply lands in English because it’s the most natural fit in the moment and vice versa. When it matters for clarity and comfort, I can absolutely keep our sessions and communication strictly in Spanish; my goal is always to meet you in the language that feels safest and most supportive for you.

Therapy is offered exclusively to New York residents