- ACT techniques
- CBT skills
- 45 minute sessions
About Julia
Julia Caruso is an LICSW licensed in Massachusetts with four years of clinical experience. She focuses on attachment-related issues, trauma and post-traumatic stress, self-esteem struggles, addiction, and relationship concerns, including guilt and shame. Julia uses direct but empathic support and aims to help people name what matters to them and take practical steps forward.
Julia tends to offer 45-minute sessions to give people time to be heard. She prefers the first meeting by video so she can connect face-to-virtual-face, and she asks clients to indicate a preference for text or video before sessions. She responds to messages within about 24 hours and does not work on weekends due to clear professional boundaries.
Her clinical approach blends Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Attachment-Based Therapy, and Jungian ideas. In practice she helps people notice unhelpful patterns, try small behavioral changes, and make meaning from past relationships and family history. She uses concrete skills alongside reflection about deeper themes.
Julia also brings personal interests into her work when relevant. She mentions music, art, time outdoors, animals, and gaming as ways people sometimes connect inner experience with outer life. That can be useful for exploring identity, coping strategies, and what brings a person a sense of purpose.
For first steps she asks people to complete the short matching questionnaire and schedule a session. Sessions use a subscription model that can be canceled at any time. She does not accept international clients.
How her approaches translate to online work
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting stuck, then taking action based on personal values. It can help when guilt or shame keeps someone from moving toward meaningful goals.Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and behavior and teaches concrete strategies to test and change unhelpful thinking patterns. It is often used for anxiety, mood concerns, and self-critical thinking.
Attachment-Based Therapy pays attention to how early relationships shape expectations and patterns in close bonds. It helps people understand why certain relationship behaviors feel automatic and offers ways to respond differently.
Finding the best approach is a collaborative process. The therapist will work with the client to decide which methods fit their needs, goals, and preferences. That may mean combining skill-based work with deeper reflection about family history and identity.
The original profile indicates a preference for a video first session and 45-minute appointments, and asks clients to indicate if they prefer text or video before sessions. Because session formats were not exhaustively listed, confirm current session options before booking. Online sessions can make it easier to fit therapy into a busy day, allow shorter check-ins when needed, and remove travel time so appointments can be scheduled around work or family commitments.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
4+ years
Listed in
Massachusetts
Languages
English
Frequently asked questions
What concerns does she work with most often?
She works with attachment issues, trauma and PTSD, self-esteem, addiction, stress and anxiety, and relationship difficulties. Guilt and shame are listed among her additional focus areas.
How would she approach feelings of shame or guilt?
She combines methods such as Acceptance and Commitment Therapy and CBT to help people notice painful thoughts, practice different responses, and choose actions that reflect their values. The work mixes skill practice with reflection on past relationships.
How much clinical experience does she have?
She has four years of experience as an LICSW working with issues like trauma, addiction, and attachment concerns. That experience shapes how she balances practical skills and deeper exploration.
What are her credentials and where is she based?
She is an LICSW (Licensed Independent Clinical Social Worker) with a Master of Arts and practices in Massachusetts.
Which languages does she offer sessions in?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
How are sessions scheduled and what does it cost?
Sessions use a subscription that can be canceled at any time and cost varies by location. The site notes that cost differences depend on the client’s location.
What is the easiest way to begin?
Select the See online therapy options button, complete the short matching questionnaire, and then schedule a first session. She requests the first meeting be by video.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.