Marilyn Piccirillo (she/her)

Anxiety shows up differently for everyone—sometimes it’s worrying about the worst-case scenario, what others think, or even physical or mental symptoms. I’m here to help you understand your unique experience of anxiety and to get curious about leaning into your experience, to help you find your way out of constant worry and stress.

For some people recovering from deeply painful or traumatic experiences, intrusive thoughts, memories, or dreams can make it feel hard to move forward. I offer a compassion-focused approach to working through the impact of trauma and the tough emotions that often come with it, with special experience supporting survivors of childhood, sexual, and military trauma.

Dialectical Behavior Therapy (DBT) is a therapy that helps people use mindfulness, emotional, and behavioral skills to manage really tough emotions and to reduce harmful behaviors like self-harm or problematic substance use. I've completed specialized training in DBT to offer compassionate, person-centered support around finding healthier ways to cope with challenging thoughts, urges, and behaviors.

Cognitive Behavioral Therapy often focuses on practicing different ways of thinking about and approaching challenging situations. I’ve trained with experts to understand the principles of CBT, how to use CBT to help folks struggling with anxiety disorders, PTSD, OCD, or substance misuse, and how to adapt CBT to meet your individual needs. I have special experience working with Veterans, particularly those who have experienced combat or military sexual trauma.

Mindfulness-based Therapy focuses on helping people be fully present by meeting each moment as it is, with less struggle and more self-compassion. I draw on years of experience with mindfulness, insight meditation, and acceptance-based practices to support people in showing up authentically and finding more ease with the present moment.

Cognitive Behavioral Therapy (CBT) is about getting curious with how your thoughts, feelings, and actions are connected, and trying out new ways to respond to tough situations. CBT is a well-researched approach that can help people with a range of concerns make meaningful change. I bring strong experience in tailoring CBT skills to support you in reaching your goals.

Burnout can leave you feeling drained, disconnected, and like you’ve lost touch with the reasons you chose your work in the first place. I specialize in supporting people in high-stress, care-focused roles who are navigating exhaustion, overwhelm, and the emotional toll of showing up for others. My goal is to help you reconnect with your values and build sustainable practices to care for yourself as much as you care for others.