top of page

Issues Most Frequently Treated

01.

We live in a world engineered for compulsion. What may appear to be excess is often a predictable response to modern conditions: work cultures that reward overextension and constant availability, social media platforms designed to reinforce dopamine-driven behavior, and widespread loneliness that has emerged as a significant public health concern. It is therefore unsurprising that rates of alcoholism, substance use disorders, and compulsive sexual behaviors continue to rise. These patterns frequently reflect deeper underlying issues, including trauma, depression, and other mental health conditions that perpetuate cycles of dependency.

The process of addiction treatment starts with a thorough clinical assessment, including the history of substance use or compulsive behavior. We explore co-occurring conditions such as depression, anxiety, and difficulties with functioning at work or home. Together, we develop an individualized treatment plan, which may include group or family therapy.

02.

Generalized Anxiety Disorder (GAD) is widely recognized among clinicians as a pervasive condition, intensified by modern stressors such as achievement-driven cultures, financial insecurity, social isolation, and diminished opportunities for meaningful, face-to-face connection. In therapy, we work collaboratively to identify the underlying sources of worry and fear, clarify contributing factors, and develop healthier, more adaptive ways of interpreting stressful situations. Evidence-based approaches such as Cognitive Behavioral Therapy (CBT) and Exposure Therapy are particularly effective. Through treatment, clients learn to recognize triggers, challenge cognitive distortions, and build practical coping skills to confront avoided situations and opportunities.

03.

Following my graduate studies, and informed by personal and professional experience, I committed my career to advocating for survivors of trauma. This work has included developing psychoeducational workshops for adult survivors of sexual, physical, and emotional abuse, and counseling victims of family violence. I’ve also worked with court-mandated offenders in in a probation setting. After creating a Trauma Recovery Program for NYU’s Silver School of Social Work, I developed a trauma studies curriculum at The New School. 


Through this work, I have learned that safety, support, respect, empowerment, and empathy are foundational to healing. These principles guide my therapeutic approach. Survivors of childhood trauma often experience self-estrangement, mistrust of others, anxiety, and depression, along with emotions such as shame, self-blame, fear, and internalized anger. Unpacking these issues can be challenging; not a journey to be taken alone. Over time, treatment shifts from addressing the aftereffects of trauma to fostering personal growth, resilience, and a renewed sense of agency.

04.

Depression ranges from seasonal affective symptoms (SAD) to severe functional impairment and can be profoundly distressing. It often results from a combination of genetic factors, brain chemistry, life experiences, personality traits, and overwhelming interpersonal conflicts. Persistent sadness, emptiness, irritability, and a loss of interest or pleasure lasting longer than two weeks may indicate the need for professional support.

When symptoms interfere with daily functioning, a combination of therapy and medication is often recommended. Treatment focuses on establishing low-pressure routines for meals, activity, sleep, and exercise, and improving daily functioning and mood.

05.

Over time, I began working extensively with individuals and couples navigating the emotional complexities of pregnancy-related challenges. This includes pregnancy loss, fertility treatments such as IVF, postpartum concerns, and reproductive trauma. Clients have shared the profound uncertainty, anxiety, grief, and attachment fears that often accompany these experiences. Infertility-related grief is frequently invisible and isolating. Therapy offers a space for individuals and couples to process these challenges.

06.

Nothing is worse than coping with toxic or unstable work environments. Clients seeking support for such often face a crisis situation where employment is at risk. In these cases, therapy focuses on establishing clear boundaries, and developing strategic exit plans toward healthier professional settings. In this work we focus on creating a plan of action.

 

For years I facilitated workshops using the classic personality assessment tool known as the  Myers-Briggs Type Indicator (MBTI) to support professionals navigating career transitions. These focused on identifying individual work styles, preferred environments, and approaches to managing career change. Understanding personality type can help you appreciate your strengths and apply them to work, love, and life.

07.

Millennial clients face unique life stressors, including student debt, stagnant wages, high housing costs—particularly in New York City—and burnout intensified by technology and social media. Many seek support for navigating online dating fatigue and the emotional challenges of forming meaningful connections in a digital culture. Therapy provides a safe place to explore these concerns and find healthier, more sustainable coping strategies.

08.

Interpersonal challenges are among the most common and impactful sources of stress for individuals and couples. Conflict may arise in new romantic relationships, within families, or when blending an existing one.  Exploring these challenges begins with careful history-taking, including an understanding of attachment styles: patterns often formed in childhood that influence how adults seek closeness, manage conflict, or protect themselves through distance. Evidence-based approaches such as Emotionally Focused Therapy (EFT), grounded in attachment theory, are commonly used to explore how early relational experiences shape current dynamics.


In couples therapy, goals typically include improving communication, strengthening trust, and deepening mutual understanding. A central focus of relational work is emotional safety: the felt sense that one can express thoughts, needs, and emotions without fear of rejection, criticism, or escalation. When emotional safety is compromised, even minor disagreements can feel threatening and lead to defensive or withdrawn responses. 

© 2026 by Michele Frank, LCSW 

bottom of page