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LMHC

Kristin Puleo, LMHC

  • Experience14 years
  • LocationNew York
  • Focus areasStress and Anxiety, Relationship, and Family
  • Therapy approachesInternal Family Systems and Acceptance and Commitment Therapy (ACT)
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About Kristin

Kristin Puleo is a New York licensed mental health counselor (LMHC) with 14 years of clinical experience helping people navigate stress, anxiety, relationship struggles, trauma, and life transitions.

Background and approach

She works with a wide range of concerns including mood disorders, addiction, ADHD, grief, intimacy and sexual identity questions, parenting and family dynamics, and challenges with sleep, eating, or career changes. Kristin aims to locate the sources of distress and collaborate with clients to remove obstacles and build practical plans for change.

Her style blends direct problem-solving with warmth and appropriate humor to keep work engaging and manageable. Kristin draws on Internal Family Systems alongside evidence-based approaches such as ACT, CBT, attachment-focused work, and client-centered methods to tailor meetings to each person’s needs.

Sessions emphasize identifying triggers, developing new perspectives, and practicing skills that support sustained wellness. Kristin invites motivated clients who are ready to explore triggers and try new ways of coping to take the next step toward clearer goals and improved functioning.

Integrating therapeutic approaches into online care

Kristin uses Internal Family Systems to help people identify and relate to different parts of themselves, which can be useful for working through trauma, inner conflict, and persistent patterns of behavior. Acceptance and Commitment Therapy (ACT) is another core approach she uses to foster psychological flexibility by helping clients clarify values and take committed action even in the presence of difficult thoughts or feelings. Attachment-Based Therapy appears in her work to address relational patterns and early interpersonal wounds, offering ways to build safer connection and improve communication.

Determining which approaches to emphasize is a collaborative part of the process. She works with each client to assess needs, preferences, and goals and then blends methods that fit the individual’s situation rather than applying a single fixed method. This ongoing collaboration helps ensure the work feels relevant and practical for the client.

Online therapy with Kristin is offered through a range of formats - video calls, phone sessions, live chat, or text-based messaging - providing flexibility for people juggling work, caregiving, or travel. These options make it easier to maintain continuity of care and to practice skills between sessions, while allowing clients to choose the format that best supports engagement and convenience.

Frequently asked questions

What concerns does Kristin commonly address?
She works with a broad set of issues including stress, anxiety, depression, trauma and abuse, addictions, relationship and family problems, self-esteem, ADHD, grief, intimacy-related concerns, and career or life-change challenges.
What is Kristin's therapeutic style and approach?
Her work blends collaborative, client-centered listening with practical strategies from modalities like CBT, ACT, attachment-based therapy, and Internal Family Systems to help clients identify roots of discomfort and develop actionable plans.
How much clinical experience does she have?
Kristin brings 14 years of experience supporting people through a variety of mental health and life concerns, drawing on multiple evidence-informed approaches.
What are her credentials and where is she located?
She is licensed as an LMHC in New York, license number NY LMHC 008692, and practices from New York while also offering online services.
Does she work with people outside the U.S. or in other languages?
She accepts international clients and conducts sessions in English.
Which session formats are available for remote work?
Kristin offers multiple online session formats including video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
How are fees and billing handled?
Costs vary with location and therapist availability, and sessions are provided through a subscription model that can be canceled at any time.
What steps are involved to begin working with her?
To start, select the Start Therapy button, complete a short matching questionnaire, and then schedule according to her availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsSelf esteemADHD

Also works with

AddictionsLGBTTrauma and abuseGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderDepressionCoping with life changesCoachingCompassion fatigue

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAvoidant personalityBlended family issuesCaregiver issues and stressChronic pain, illness, and disabilityCommunication problemsControl issuesDependent personalityDivorce and separationFamily problemsFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeVeteran and Armed Forces IssuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyEye Movement Desensitization and Reprocessing (EMDR)Gottman MethodJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

14+ years

Licensed

New York

Languages

English