Lindsey Echevarria

I'm a Licensed Marriage and Family Therapist in New York, and I work with individual adults, fully online. My clinical training is in systemic and relational therapy (MS, Iona University), with practicum work in family therapy clinics across Queens and Westchester. Before private practice, I spent years inside the system that's supposed to help people and watched how often it doesn't. Five years as a mental health technician on psychiatric units, plus research and program coordination in neurological and pediatric settings. That history is part of why I work the way I do. I've seen what happens when people get treated like a diagnosis instead of a person shaped by everything that came before them.

I work with adults carrying generational trauma, CPTSD, emotional neglect, and the kind of anxiety that comes from never feeling safe enough to stop performing. A lot of my clients are highly sensitive, neurodivergent, or both. Many are women unlearning people-pleasing and codependency. Most of them are competent, self-aware, and exhausted from holding everything together. I'm neurodivergent myself, and my practice is LGBTQ-affirming all the way down, not as a tagline but as a baseline.

If you've done therapy before and walked away with insight but no actual change, you're exactly who I built this for.

I don't think you're broken. I think you adapted to conditions that asked too much of you, and those adaptations are still running long after they stopped being useful. My job isn't to fix you. It's to help you see the patterns clearly enough to choose something different.

I work from a systems and attachment lens, which means we look at the relationships and family scripts that shaped you, not just your symptoms in isolation. Depending on what you need, that work pulls from parts-based therapy (IFS), somatic approaches, attachment and emotion-focused work, and narrative and psychodynamic frameworks. In plain terms: we'll track what's happening in your body, name the protective patterns you learned young, and work on the actual behavior, not just the understanding of it.

I'm direct, and I won't hand you platitudes or spiritual bypassing dressed up as healing. I'll also never shame you for the ways you survived. Both of those things are true at once. The goal isn't to make you more agreeable or easier to be around. It's to help you build a life that doesn't require you to abandon yourself to keep the peace.

The first session is mostly me getting to know you and you getting a feel for whether I'm the right fit. No deep excavation on day one. You don't have to perform readiness or have your story organized.

I'll ask what brought you in now and what you're hoping changes. We'll talk about your history at whatever pace feels okay, and I'll start getting a picture of the patterns and relationships that shaped you. You can ask me anything about how I work. If something doesn't land, I'd rather you tell me than disappear, and I'll say the same to you about fit.

By the end, you'll have a sense of where we'd focus and what working together actually looks like. If I'm not the right person for what you need, I'll tell you that honestly and help point you somewhere better. You won't leave the first session with everything solved. You should leave it feeling like you were actually heard.