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KP Portrait of Kristin Puleo

Kristin Puleo

Practical, experienced guidance for life transitions

LMHC New York

Experience
14 years in practice
Focus areas
Stress, Anxiety, Relationship, Family
Approaches
Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages
English

About Kristin

Kristin Puleo is a licensed mental health counselor based in New York who supports people navigating stress, anxiety, relationship concerns, trauma, mood challenges, and life transitions. With 14 years of clinical experience, she offers practical guidance to clients who feel stuck, overwhelmed, or uncertain about next steps.

Background and approach

Kristin combines steady listening with constructive feedback to help clients identify what is standing in the way of greater wellbeing and forward movement. Her work blends evidence-informed techniques, including cognitive behavioral approaches and acceptance-based strategies, with attachment-focused and client-centered perspectives.

She uses a direct but warm style that may include appropriate humor to ease tension and increase engagement. Sessions focus on locating sources of distress, building skills to manage triggers, and developing realistic plans to meet personal goals.

Kristin welcomes people dealing with mood disorders, grief, substance concerns, identity-related stress, parenting strains, chronic illness challenges, and many other life difficulties. As an LMHC, she aims to partner with each client to explore new perspectives and practical steps toward improved functioning and greater emotional balance.

Therapeutic approaches and online care that fit your life

Kristin draws on cognitive behavioral therapy (CBT) to help clients identify unhelpful thinking patterns and develop concrete strategies for changing behaviors that contribute to stress and anxiety. CBT offers structured tools for addressing mood symptoms, worry, and practical obstacles to functioning.

She also integrates Acceptance and Commitment Therapy (ACT), which emphasizes accepting difficult internal experiences while clarifying personal values and committing to meaningful actions. ACT can be helpful for people coping with chronic distress, grief, or problems that don’t respond to efforts at control. Attachment-informed work is used as needed to explore patterns in relationships and how early bonds influence current difficulties and intimacy-related issues.

Choosing the right approach is a collaborative process. The therapist will work together with each client to consider goals, preferences, and what feels most helpful in session, and may blend techniques from different methods to tailor care. This collaborative stance helps ensure the plan fits the person rather than forcing a single method.

Online therapy options include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for people with busy schedules or limited local options. These formats make it easier to maintain continuity of care, access support from different locations, and pick the style of communication that best supports progress.

Frequently asked questions

What concerns does Kristin commonly address?
She works with a wide range of issues including stress, anxiety, depression, trauma and abuse, relationship and intimacy-related problems, grief, bipolar disorder, addictions, ADHD, and identity-related concerns such as LGBT and gender dysphoria.
How would you describe her therapeutic approach and style?
Her approach combines cognitive behavioral techniques with acceptance and commitment strategies, attachment-informed work, client-centered care, and skills from dialectical behavior therapy. The style is practical, collaborative, and sometimes lightened with appropriate humor to help clients stay engaged.
What is her clinical background and experience?
She has 14 years of professional experience working with people across many presenting concerns and has developed an integrative skill set to help clients manage triggers and work toward goals.
Where is she licensed and practicing?
Kristin is a licensed mental health counselor practicing in New York with the credential NY LMHC 008692.
Can she work with clients who live outside the United States?
Yes, she accepts international clients and conducts therapy in English for those who live abroad or in different time zones.
What session formats are offered?
Sessions are available by video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.
How does pricing and subscription work?
Cost varies with location and therapist availability; sessions operate through a subscription model that can be canceled at any time.
How do I begin if I want to work with Kristin?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule a session according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyRelationship issuesFamily conflictsSelf esteemADHD

Also works with

AddictionsLGBTTrauma and abuseGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderDepressionCoping with life changesCoachingCompassion fatigue

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesAvoidant personalityBlended family issuesCaregiver issues and stressChronic pain, illness, and disabilityCommunication problemsControl issuesDependent personalityDivorce and separationFamily problemsFirst responder issuesForgivenessGender dysphoriaGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeVeteran and Armed Forces IssuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyEye Movement Desensitization and Reprocessing (EMDR)Gottman MethodJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

14+ years

Licensed

New York

Languages

English