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Megan Giacoletto

Megan Giacoletto, LMSW

Michigan

Continue with Megan

LMSW - Stress, addiction, and shame support

  • Guilt and shame
  • Addiction recovery
  • CBT and ACT methods

About Megan

Megan Giacoletto is a Licensed Master Social Worker (LMSW) practicing in Michigan with seven years of experience. She works with people dealing with stress, anxiety, addiction, depression, grief, relationship challenges, trauma, and feelings of guilt and shame. Megan presents as a collaborative clinician who treats clients as the experts on their own lives and offers practical support to build coping skills.

She often helps people struggling with identity and LGBT concerns, as well as intimacy and sexual culture questions including BDSM and kink. She also supports those facing chronic pain or illness, process and substance addictions, hoarding, and life changes that feel overwhelming. Her work covers mood disorders, ADHD, and issues that affect sleeping and self-esteem.

Megan uses concrete methods in session. She draws on Cognitive Behavioral Therapy to look at how thoughts affect feelings and behavior. She uses Acceptance and Commitment Therapy and mindfulness techniques to help people notice what matters and take manageable action. Motivational Interviewing helps when change feels stalled, and Narrative Therapy supports reworking stories people tell about themselves.

Sessions are collaborative and skill-focused. Conversations often include practical strategies to manage distress, short exercises to shift thinking, and planning steps to try between meetings. She frames therapy as a place to practice new ways of handling hard moments rather than as a one-time fix.

People seeking therapy should expect a straightforward, skills-based approach that addresses immediate problems and broader life patterns. Before booking, confirm current session options and formats to match scheduling needs.

How her approaches translate to online sessions

Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values. In practice this often means noticing difficult thoughts and feelings, then choosing actions that align with personal priorities. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with real-life experiments. It usually involves brief exercises, behavior plans, and tracking patterns between sessions. Mindfulness Therapy offers short attention and breathing practices to reduce reactivity and increase awareness of present-moment experience.

Finding the right approach is part of the work. Megan treats therapy as a collaboration and will help clients decide which methods fit their goals and comfort level. She combines tools when useful and checks in to adjust plans based on how people respond.

The therapist's original profile does not list specific session formats, so confirm current options before booking. Online work can make it easier to fit sessions into a day, reduce travel time, and allow for shorter check-ins when schedules are tight. It also makes it possible to practice skills between meetings in the settings where problems actually occur. Ask about session length, scheduling, and the practical steps to set up your first appointment.

Areas of expertise

Also works with

Relationship issuesTrauma and abuseIntimacy-related issuesSleeping disordersSelf esteemBipolar disorderCoping with life changesADHD

Additional focus areas

BDSM, kink, and alternative sex cultureChronic pain, illness, and disabilityDrug and alcohol addictionFamily problemsGender dysphoriaGuilt and shameHoardingHospice and end-of-life counselingImpulsivityLife purposeMood disordersPolyamory / non-monogamous relationshipsPost-traumatic stressProcess addiction (porn, exercise, gambling)Self-harmSelf-loveSex addictionSmoking / vaping cessationWomen's issuesWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingNarrative Therapy

Experience

7+ years

Listed in

Michigan

Languages

English

Frequently asked questions

What kinds of issues does she help with?

Megan works with stress, anxiety, addictions, depression, grief, relationship and intimacy concerns, trauma and abuse, and guilt and shame among other issues.

How would she approach shame or guilt in sessions?

She uses collaborative, skills-focused work that may include mindfulness, cognitive techniques, and narrative work to notice patterns and try new responses to shame or guilt.

How much clinical experience does she have?

She has seven years of experience as a social worker providing counseling and support for a range of mood, stress, and addiction-related concerns.

What credential does she hold and where does she practice?

She is an LMSW, which stands for Licensed Master Social Worker, and she is licensed to see clients in Michigan.

Are sessions offered in other languages or internationally?

Sessions are offered in English, and she does not accept international clients at this time.

What session formats are available?

The original profile does not list specific session formats; please confirm current session options before booking so you know whether phone, video, or other formats are offered.

How does cost work for sessions?

Cost varies with location and sessions use a subscription model that can be canceled at any time; check the subscription details for exact pricing.

How do I begin working with her?

Start by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session.

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

Megan GiacolettoLMSW

Continue with Megan