About Genna
Genna Lo Presti is a licensed clinical social worker (LCSW) with 22 years of clinical experience. She focuses on helping people who feel stuck by looking at how relationships, past wounds, and daily stresses shape current struggles. She draws on practical therapies like cognitive behavioral therapy and acceptance and commitment therapy alongside attachment-based and emotionally focused approaches.
Sessions are conversational and down-to-earth. Genna listens for patterns that keep people stuck and offers simple steps to shift them.
Background and approach
Her work often addresses anxiety, depression, grief, addictions, and ADHD, as well as intimacy and relationship difficulties. She also supports people facing burnout, compassion fatigue, and major life changes. Genna pays attention to how early attachments and trauma affect present behavior and self-worth.
Genna trained at the bachelor and master levels before earning her Florida LCSW in 2014. Much of her career has been in acute psychiatric and behavioral health settings, where she used a mix of trauma-focused and humanistic methods. She favors a warm, realistic style with occasional humor to ease tension.
Genna helps people notice avoidant or reactionary habits, try small experiments, and practice new ways of relating to themselves and others. People who work with her can expect an attentive listener who treats concerns as part of a larger life story. She aims to guide clients toward feeling less consumed and more able to move forward.
Therapeutic approaches suited to online care
Genna often uses cognitive behavioral therapy (CBT) to help people notice unhelpful thoughts and try small behavior changes. CBT is practical and works well for anxiety, depression, and problems with focus or routine.She also uses acceptance and commitment therapy (ACT) to help people clarify values and take committed steps toward them, even with uncomfortable feelings present. ACT can be useful for stress, chronic worry, and challenges like ADHD where managing attention and motivation matters.
Finding the right approach is a collaborative process. The therapist will discuss goals and preferences and adapt methods over time so work fits the person rather than the other way around. Clients and therapist decide together which techniques to try and when to shift course.
Online sessions are offered as video calls, phone sessions, live chat, or text-based messaging to give practical flexibility. Video lets the therapist read expressions and hold more traditional sessions, phone calls can be easier when bandwidth is limited, and messaging works well for short check-ins or brief support between sessions. These options make it easier to fit therapy into a busy life and keep continuity when schedules change.
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What this therapist works with
Most often
- Addictions
- Relationship issues
- Trauma and abuse
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Caregiver issues and stress
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Stress, Anxiety
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Experience
- 22 years
- Licensed
- Florida
- Languages
- English
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