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Kristina MacDonald, LMHC

New York LMHC supporting anxiety and relationships
  • Anxiety and depression
  • Couples and relationships
  • Teens and adults

About Kristina MacDonald

Kristina MacDonald is a Licensed Mental Health Counselor (LMHC) practicing in New York who supports adults, teens, and couples through a wide range of emotional and interpersonal challenges. With eight years of experience, she works with people who may appear to be holding everything together while privately feeling overwhelmed, anxious, disconnected, or emotionally exhausted. Many seek her help because they are overthinking, struggling in relationships, or navigating life transitions that feel especially hard to manage.

She offers therapy for anxiety, depression, ADHD, trauma, relationship conflict, and major life changes, as well as concerns related to stress, self-esteem, career, addictions, family dynamics, grief, parenting, and intimacy. Her practice also addresses more specific issues such as abandonment, attachment difficulties, blended family concerns, body image, caregiver stress, chronic illness and pain, codependency, and communication problems. Kristina provides culturally responsive therapy for multicultural couples, helping partners explore cultural differences, acculturation, family expectations, communication styles, and identity in a respectful, collaborative setting.

Kristina blends evidence-informed methods including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), client-centered approaches, mindfulness practices, and Motivational Interviewing to tailor care to each person’s needs and goals. As an LMHC she brings clinical training and practical experience to help clients understand what is happening, regain a sense of direction, and work toward meaningful change.

Areas of Expertise

Primary Focus

Stress, AnxietyRelationship issuesSelf esteemCareer difficultiesDepression

Also Specializes In

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 Approach

Acceptance and Commitment Therapy (ACT) Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Mindfulness Therapy Motivational Interviewing Solution-Focused Therapy Internal Family Systems

Frequently Asked Questions

How much experience does Kristina MacDonald have?

Kristina MacDonald has 8 years of experience.

Is Kristina MacDonald a licensed therapist?

Yes. She holds the credential LMHC. License details: NY LMHC 008424.

In which languages does Kristina MacDonald provide therapy?

She provides therapy in English.

Where is Kristina MacDonald located?

She is located in New York.

How can I work with Kristina MacDonald as my therapist?

You can work with Kristina MacDonald through video calls, phone sessions, live chat, or text-based messaging.

Does Kristina MacDonald work with international clients?

Kristina MacDonald does not currently work with international clients.

How much does therapy with Kristina MacDonald cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic Approaches and Online Care

Kristina uses approaches that focus on both practical change and personal values. Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, then choose actions that match their values - this can be useful for anxiety, stress, and life transitions. Cognitive Behavioral Therapy (CBT) works by identifying unhelpful patterns of thinking and behavior and testing new ways of responding, which can be helpful for anxiety, depression, and problem-solving. Client-Centered Therapy emphasizes a warm, nonjudgmental relationship in which the therapist follows the client's lead to build self-awareness and confidence, often supporting work on relationships, self-esteem, and identity.

Finding the right approach is part of the work itself. Kristina collaborates with each person to determine which methods fit best with their goals, preferences, and the specific challenges they bring, adjusting strategies over time as needed.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to fit sessions into a busy schedule and to maintain continuity during life changes. Licensed professionals can deliver these approaches effectively via remote formats, allowing clients to access care from their own location while working toward meaningful progress.

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