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Leah D'agostino

Leah D'agostino, LCSW

Pennsylvania

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Licensed Clinical Social Worker - Guilt and shame focus

  • Stress and anxiety
  • CBT and ACT methods
  • Attachment work

About Leah

Leah D'agostino is a Licensed Clinical Social Worker (LCSW) in Pennsylvania with 15 years of experience. She works with adults facing stress, anxiety, addictions, relationship struggles, grief, low self-esteem, and challenges such as bipolar disorder and coping with life changes. Leah also focuses on issues tied to abandonment, attachment, codependency, and feelings of guilt and shame.

Leah uses straightforward, person-centered conversations to help people untangle painful emotions. Sessions look at how thoughts, behaviors, and relationships keep someone stuck. She draws on Cognitive Behavioral Therapy and Acceptance and Commitment Therapy to help people notice unhelpful patterns and try different ways of responding.

Attachment-based ideas inform how she addresses closeness and trust in relationships. Dialectical behavior skills are used when strong emotions become overwhelming. Leah mixes these approaches depending on what someone needs in the moment rather than following a rigid plan.

In a typical meeting she listens for the concrete problems and practical barriers a person faces. Then she helps set short, manageable goals and experiments for outside sessions. Work may include communication practice, boundary-setting, and skills to manage urges or intense mood swings.

Leah aims to guide people through guilt and shame without judgment and to support clearer decision-making. People who want to start are asked to complete a short matching questionnaire and schedule an introductory session to see if the fit feels right.

Therapeutic approaches and online sessions

Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting ruled by them and committing to actions that match personal values. It can help with chronic guilt, avoidance, and moving forward after painful events. Cognitive Behavioral Therapy (CBT) looks at links between thoughts, feelings, and behaviors and provides step-by-step exercises to change patterns that keep anxiety or shame active. Attachment-Based Therapy pays attention to how early and current relationships shape trust, closeness, and emotional reactions, which can be useful when guilt or shame is tied to relationships.

Finding the right approach is part of the work. Leah will collaborate with each person to decide which methods fit their needs, goals, and preferences. That means trying concrete skills, adjusting pace, and choosing practices that a person can use between sessions.

Please confirm the specific online session formats she offers before booking, as the biography does not list them. Online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when time is limited, and reduce the need to travel. Therapists typically adapt exercises, homework, and communication to work well over video or phone depending on what the client prefers and what suits the goals.

Areas of expertise

Primary focus

Also works with

Family conflictsAnger managementBipolar disorderCoping with life changes

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAvoidant personalityCaregiver issues and stressCodependencyCommitment issuesCommunication problemsControl issuesDependent personalityDivorce and separationDrug and alcohol addictionEmptinessForgivenessGuilt and shameHospice and end-of-life counselingImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMidlife crisisMood disordersPersonality disordersPost-traumatic stressSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexualityWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused Therapy

Experience

15+ years

Listed in

Pennsylvania

Languages

English

Frequently asked questions

What kinds of concerns does Leah work with?

She supports adults with stress, anxiety, addictions, relationship problems, grief, self-esteem, anger, bipolar disorder, and coping with life changes. Additional focuses include abandonment, codependency, forgiveness, and guilt and shame.

How does she approach guilt or shame?

She uses person-centered conversations and evidence-based tools to help people notice patterns that keep guilt or shame active. Work often includes practical exercises and changes in behavior, not just talk.

What is her clinical background and experience?

Leah is a Licensed Clinical Social Worker with 15 years of clinical experience working with emotional and life transition issues.

Where is she licensed and based?

She is licensed as an LCSW in Pennsylvania and practices with that credential in that state.

Does she offer sessions in other languages or to international clients?

Sessions are offered in English. She is not accepting international clients at this time.

What session formats are available?

Please confirm current session options before booking, as the biography does not specify formats. The site sign-up provides details when you reach scheduling.

How are sessions paid for and what does it cost?

Cost varies with location and sessions use a subscription that can be canceled at any time. Exact pricing appears during the sign-up flow.

How do I begin working with her?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session through the platform.

Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.

Leah D'agostinoLCSW

Continue with Leah