Lori Landres

I hold two clinical credentials: an LCSW and a CASAC Level 2, which is an advanced substance use counseling certification that goes beyond what a standard therapy license covers. Together, they mean I can work with the full picture — the addiction, the trauma underneath it, the grief, the depression, the behaviors that developed alongside it.

I've worked in hospital units, outpatient programs, and community-based settings across New York — so I've seen what people face at their most acute and at the everyday level of trying to hold things together. I work with adolescents and adults navigating substance use, trauma, PTSD, gambling, bipolar disorder, depression, and anger.

I bring clinical rigor and genuine warmth in equal measure — because one without the other doesn't do the job

My work is trauma-informed and strengths-based at its core — meaning I start from what's already working in you, not just what needs fixing.

For substance use and behavioral patterns like gambling, I use Motivational Interviewing to meet you where you actually are with change, without pressure or judgment. For trauma and PTSD, I draw on Trauma-Focused CBT and Cognitive Behavioral Conjoint Therapy for PTSD — a specialized approach that can also involve a partner or support person when that's part of the healing. For the thought patterns driving depression, anxiety, and anger, CBT gives us a practical framework for shifting what's keeping you stuck.

Treatment is always tailored. You're not a diagnosis — you're a whole person, and the plan reflects that.

The first session is a conversation. I'll ask what's brought you here — what's been weighing on you, how long you've been carrying it, and what you're hoping feels different.

We'll start to identify your strengths and map out goals that feel real and reachable, not a list someone handed you. By the end, you'll have a clearer sense of what working together looks like — and most people leave feeling like they can finally breathe a little.