Cassandra Duff

Cassandra Duff is a licensed mental health counselor (LMHC) in New York with nearly two decades of clinical experience. She focuses on helping people facing stress, anxiety, relationship strain, anger, depression, and addictive behaviors. Many clients come for help with intimacy, career worries, ADHD, and life transitions. Cassandra adapts her approach to each person's needs. She centers conversations on what matters to the individual and uses practical strategies to manage symptoms. Her background includes work across a range of mood and behavioral concerns, including bipolar symptoms, obsessive-compulsive patterns, and compulsive worries. In sessions she draws on client-centered methods to build understanding and trust. She also uses Cognitive Behavioral Therapy (CBT) to identify unhelpful thinking and develop new coping skills. Dialectical Behavior Therapy (DBT) tools are available for building emotional regulation and distress tolerance when those skills are needed. She also addresses concerns often linked with caregiving, commitment worries, family stress, shame, infidelity, loneliness, jealousy, and money-related strain. Cassandra attends to multicultural and prejudice-related issues and helps people work on self-love and confidence. Women’s issues are noted among her focus areas. Cassandra describes therapy as a collaborative process. She aims to tailor conversations and plans to each person’s goals. Taking the first step is often the hardest part, and she offers steady, respectful support while people work toward clearer goals and daily improvements.

Therapeutic approaches and how they translate online

Client-centered therapy focuses on understanding the person in their own words and building a collaborative relationship. Online sessions can use that same conversational focus to identify priorities and strengths.

Cognitive Behavioral Therapy, or CBT, looks at thoughts and behaviors that keep problems going and teaches practical skills to change them. In an online setting CBT can include worksheets, skill practice, and short homework tasks between sessions.

Dialectical Behavior Therapy, DBT, offers tools for managing intense emotions, improving distress tolerance, and building interpersonal effectiveness. These skills can be taught and practiced in remote sessions and used during everyday challenges.

Finding the right approach is part of the work. The therapist will help choose which methods fit a person's goals, needs, and preferences. That decision is made together and can shift as progress is made.

If you are considering online therapy, confirm the current session options before booking since formats were not specified in the original biography. Online work can make scheduling easier, reduce travel time, and allow shorter check-ins when life is busy. It can also let people use strategies learned in sessions right away in daily routines, which helps turn new skills into habit.