- Bilingual English Spanish
- ACT and CBT methods
- Trauma informed approaches
About Otilia
Otilia Rowe is a Licensed Clinical Social Worker (LCSW) in New York with eight years of clinical experience. She works with adults who are carrying guilt or shame related to relationships, identity, parenting, work, and family history. Sessions are offered in English and Spanish.
Rowe helps people manage stress, anxiety, relationship problems, and the fallout from trauma and abuse. She also addresses intimacy-related issues, challenges tied to gender and sexual identity, and concerns such as body image, attachment, and abandonment. Her work includes practical support for career and parenting struggles as well as compassion fatigue.
Her style is direct and pragmatic. She favors clear steps over long theory talks. In a session she and the client identify what feels stuck, test small changes, and track what works next. She uses strategies that teach emotional regulation and strengthen daily routines.
Clinically, Rowe draws on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Emotionally-Focused Therapy, and Eye Movement Desensitization and Reprocessing. Those methods inform how she approaches anxiety, trauma, patterns in relationships, and persistent shame.
People come to her to rethink harsh self-judgment and to find ways to act differently despite difficult feelings. She combines practical tools with attention to identity and culture. The goal is clearer choices and more workable habits, not quick fixes.
Background and approach: Rowe is bilingual and brings cultural awareness to sessions with Latinx clients and others who value Spanish-language work. She supports people through life transitions, separation and divorce issues, fertility and fatherhood concerns, blended family dynamics, and alternative sexual cultures including BDSM and kink. She also addresses autism-related concerns and avoidant personality patterns in the course of therapy.
Using evidence-based approaches in online sessions
Acceptance and Commitment Therapy (ACT) focuses on helping people notice difficult thoughts and feelings without letting those experiences dictate every choice. It is often used for stress, anxiety, and values-based changes where guilt or shame make decision-making harder.Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings, and actions. It helps someone identify unhelpful thinking patterns and replace them with practical experiments and new routines to reduce anxiety and self-criticism.
Dialectical Behavior Therapy (DBT) adds skills for emotional regulation, distress tolerance, and clearer communication. These tools can be useful when shame fuels reactive behavior or when relationships suffer because of intense emotions.
Finding the right approach is part of the work. The therapist will collaborate with the client to pick methods that match their goals, needs, and preferences. That may mean combining ACT, CBT, or DBT strategies and adjusting them over time based on what helps most.
Confirm the exact session formats before booking, as session delivery is not specified here. Online sessions can make it easier to fit therapy into a busy schedule, allow for shorter check-in meetings when needed, and remove travel time on workdays. Licensed professionals often use the flexibility of remote work to keep momentum between sessions while focusing on practical steps for managing guilt and shame.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
8+ years
Listed in
New York
Languages
English, Spanish
Frequently asked questions
What kinds of guilt or shame does she help with?
She works with guilt and shame related to relationships, parenting, work, family history, and identity concerns including gender and sexual identity.
How does she approach feelings of shame in therapy?
Her approach is direct and practical. She identifies what is keeping someone stuck, introduces tools for emotional regulation, and tests small behavior changes in everyday life.
What is her clinical experience?
She has eight years of clinical experience as a Licensed Clinical Social Worker working in New York settings.
Where is she based and licensed?
She is based in New York and holds the NY LCSW credential.
Does she offer sessions in other languages?
Sessions are offered in English and Spanish.
Can international clients work with her?
She does not accept international clients at this time.
How are sessions scheduled and what do they cost?
Cost varies with location; sessions use a subscription that can be canceled at any time. Confirm current pricing before booking.
How do I get started with a first session?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.