Bessie Costanza

I'm Bessie — an LCSW based in Kentucky who works with adults navigating anxiety, depression, relationship struggles, and the quiet kind of suffering that doesn't always have a clear name. I offer telehealth sessions across Kentucky, New Jersey, and Pennsylvania, which means I can meet you where you are — no commute, no waiting room. My approach is warm and collaborative. I'm not here to hand you a diagnosis and a worksheet. I'm here to think with you, and to help you understand yourself in ways that actually change things.

I work primarily from a cognitive behavioral framework, which means we spend real time exploring the beliefs you hold about yourself and others — many of which were formed long before you had a say in the matter. That said, I tailor my approach to each person. Some clients come wanting to understand patterns in their relationships; for others, the work is more about learning to regulate emotions or move through a difficult life transition. I'm especially interested in how early experiences shape the way we relate to ourselves and to the people we love. No rigid protocol — just thoughtful, individualized care.

The first session is about getting to know each other. I'll ask you about what's bringing you in, a bit about your history, and what you're hoping therapy will do for you. You don't need to have all the answers — in fact, many people come in not entirely sure what they need. That's completely fine. My job in that first hour is to listen carefully and help you feel like you're in the right place. By the end, we'll have a sense of direction together. Most clients tell me they leave that first session feeling lighter than they expected.