Anthony Vario

I am an independently licensed clinical social worker (LCSW / LICSW) with a background in inpatient psychiatry, emergency medical departments, and community mental health. Today, alongside my diagnostic and supervisory practice, I maintain a strictly limited psychotherapy caseload.

I work with capable adults who manage demanding lives while their minds keep circling. You may be skilled at analyzing yourself, anticipating problems, and explaining why you feel the way you do. Yet insight can easily coexist with chronic physical tension, emotional distance, and the feeling that you cannot put anything down.

My approach is active, relational, and experiential. I am an AEDP Level 1–trained clinician and AEDP Institute Immersion graduate, integrating relational psychodynamic depth with collaborative somatic pattern-interrupts.

Thinking things through may have helped you stay prepared, capable, or protected. We respect that history while noticing when another round of explanation moves you farther from what you are actually feeling. I listen closely and speak plainly. Together, we make room for humor, anger, uncertainty, and honest disagreement—giving you room to arrive without having to perform being a "good client."

Practice & Scheduling Notice:

Psychotherapy appointments are offered exclusively on Thursdays via telehealth for adults physically located in Arizona, Massachusetts, or Rhode Island during sessions. Intakes are scheduled during designated Thursday afternoon windows as space permits.

My approach moves the work from mental loops into felt experience. It is relational, experiential, and trauma-informed.

In sessions, we attend closely to what is happening beneath the explanation. When we find ourselves circling in intellectualization, I may name it and invite a brief pause—noticing a tightening in your chest, a shift in your voice, or the urge to explain away an emotion. Through brief somatic shifts in attention, we help you orient to your body, regulate the nervous system, and build capacity to stay with feelings you have learned to manage through analysis alone.

The goal is not to eliminate your intellect, but to build emotional flexibility, bodily ease, and genuine choice in how you respond to your life and relationships.

Our initial consultation is a direct, grounded conversation to clarify what brings you to therapy, what you hope will change, and whether our ways of working align.

We will look at your history and current pressures, but we will also begin noticing how you experience difficult moments in real time—through thoughts, emotional responses, and physical sensations. You do not need a rehearsed narrative or a polished explanation of your problems. You are welcome to tell me when an observation misses the mark, correct me when needed, and set the pace that feels manageable for you.