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Kristina MacDonald

LMHC

Compassionate, practical support for life changes

  • Direct coping strategies
  • Focus on relationships
  • Mindful, values-based work

About Kristina

Kristina MacDonald is a Licensed Mental Health Counselor (LMHC) based in New York who helps people dealing with stress, anxiety, relationship strain, and body image concerns. She aims to make therapy practical and straightforward for people who feel overwhelmed, disconnected, or exhausted. Her style is direct and compassionate, focusing on small, doable changes that add up over time.

She draws on cognitive behavioral techniques to spot unhelpful thinking, and uses acceptance and mindfulness ideas to reduce struggle with strong emotions. Motivational interviewing helps when someone is unsure about change, and a client-centered stance keeps sessions focused on each person's goals. These approaches are woven together to match what an individual brings to the room.

Kristina has eight years of experience working in mental health settings and holds the LMHC credential in New York. She has supported people facing depression, addiction, grief, parenting stress, ADHD, and trauma-related concerns. Her work also covers issues such as abandonment, attachment wounds, blended family challenges, and communication problems.

She offers culturally responsive care and aims to respect different backgrounds and identities. Sessions emphasize clear communication, practical coping strategies, and steps that fit daily life. Prospective clients are encouraged to review session options and scheduling details before booking.

To begin, visitors should use the site's Start Therapy button to complete a brief matching questionnaire and schedule according to the therapist's availability.

How her approaches translate to online therapy

Kristina blends cognitive behavioral work with acceptance and commitment ideas to help people change unhelpful thinking and build a life aligned with their values. CBT focuses on identifying patterns of thought and behavior and practicing different responses to reduce symptoms and improve daily functioning. ACT emphasizes noticing difficult feelings, clarifying what matters most, and taking concrete steps toward those values.

She also uses client-centered listening to make sessions collaborative and motivational interviewing to support readiness for change. Together these approaches let the therapist and client try techniques, check what helps, and adjust the plan as needed. Deciding which mix to use is a shared process based on the client's goals and preferences.

If you are considering online sessions, confirm the available session formats before booking. Online work can make it easier to fit therapy into a busy life, reduce travel time, and allow shorter check-ins when schedules are tight. The therapist will discuss practical options and find an arrangement that fits the client's routines and needs.

License and NPI

LMHC New York · No. 008424
NPI1598201857

As shown on the therapist's profile. You can check a license with the state board and an NPI with the national registry.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesSelf esteemCareer difficultiesDepression

Also works with

AddictionsLGBTFamily conflictsTrauma and abuseGriefIntimacy-related issuesParenting issuesAnger managementBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAttachment issuesBlended family issuesBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesDisruptive Mood Dysregulation Disorder (DMDD)Divorce and separationEmptinessFamily of origin issuesFamily problemsFertility issuesForgivenessGuilt and shameImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMoney and financial issuesMood disordersNarcissismPanic disorder and panic attacksParanoiaPersonality disordersPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyInternal Family Systems

Experience

8+ years

Credentials

New York

Languages

English

Frequently asked questions

What kinds of concerns does she address?

Kristina works with stress, anxiety, depression, relationship issues, addictions, ADHD, grief, body image, and related concerns listed on her profile.

What is her general therapy style?

She uses a practical, goal-focused approach that combines cognitive behavioral techniques, acceptance and mindfulness ideas, and motivational interviewing to help people make gradual changes.

How much experience does she have?

She has eight years of experience working in mental health settings and holds an LMHC credential in New York.

Where is she based and licensed?

She is based in New York and holds the NY Licensed Mental Health Counselor credential (LMHC).

Which languages are offered in sessions?

Sessions are offered in English.

Are international clients supported?

International clients are not currently accepted.

How does billing and cost work?

Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.

How do I get started with her?

Click the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

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