Susanna Guarino (she/her/hers)

Accepting Clients

Therapy for couples and creatives who want more from life. LGBTQI affirming.

Counselor in Rochester, NY

  • Free Initial Consultation
  • Contact
  • Individual
  • Couples
  • Group

About My Clients

If you're like me, you started adulthood with an idealistic vision of relationships inspired by images from '90s rom coms and Kay commercials. But now your naïveté is so ten years ago and you're struggling in your real life relationship. It's hard to communicate effectively, compromise, or get through challenges and big life changes without shutting down or escalating. And it's tough to be your best self when your relationship is struggling. You might start to feel depressed, hopeless, on edge.

My Background and Approach

I spent 3 years teaching Healthy Relationships workshops, and I've also done special trainings to work with couples, including Gottman Levels 1 and 2, and Emotion Focused Therapy. What I've learned is that even relationships that seem to be in real deep sh** can become strong, resilient and healthy if both people are willing to put in the work. The process is sometimes painful and difficult. But it's also often fun. You will practice communicating in better ways, learn new skills for compromise, and get to know each other on a deeper level. Puedo hablar un poco de español contigo, pero no puedo hablar con fluencia. LGBTQI affirming.

My Personal Beliefs and Interests

I'm a zen practicing therapist+musician who loves working with people on their journeys to healthier relationships and becoming their most authentic selves. I was raised fundamentalist (Reformed Baptist, Calvinist) and spent a lot of my childhood learning fire and brimstone theology and memorizing verses from the King James Bible. Needless to say I chose to leave much of that behind when I grew up. I know what it's like to feel like an outsider, to not know where I fit in the world, and to have to leave behind everything I know in order to become who I really am. In our work together, I want to help you tap into your own creativity and inner wisdom while also drawing from evidence-based modalities to help you live a purposeful life, deepen your relationships, and reach your goals as a couple or as an individual.

Insurance Plans Accepted
  • Aetna
I offer online counseling in the following states:
I have experience with the following
  • Buddhism
  • Christianity
  • Judaism
  • Taoism
  • Interfaith
  • Multifaith

At A Glance

  • Experience: 8 years of practice
  • Languages: English, Español
  • Rate: $150 - 225/session


585-294-4776 Email Susanna
1100 S Goodman
Suite 312
Rochester, NY 14602

Reach out to Susanna