Christina Macnamara, LCSW

Christina Macnamara is a Licensed Clinical Social Worker (LCSW) with 29 years of experience. She helps people who feel overwhelmed by life change, loss, illness, or relationship strain. She speaks plainly and focuses on practical steps to relieve pressure and move forward.

Christina sees therapy as a partnership. Sessions begin with what matters most to the person seeking help. She uses a client-centered stance to understand each person's situation and goals before suggesting approaches that fit.

Her work draws on solution-focused methods and cognitive behavioral techniques to address anxiety, depression, grief, and stress. She supports people facing trauma, parenting challenges, caregiving strain, and changes tied to illness or aging. Christina also helps with concerns like self-esteem, communication problems, and ADHD-related struggles.

Sessions are guided by the individual's needs. Christina helps break problems into manageable steps, practices new skills in session, and checks what’s working. She aims to make progress feel practical and relevant to everyday life.

If someone wants to begin, Christina asks them to describe the main problem and what a better week would look like. She and the client then set short-term goals and revisit them regularly to keep therapy focused and useful.

How therapy approaches shape online care

Acceptance and Commitment Therapy (ACT) helps people notice their thoughts and choose actions that match their values. It can be useful when someone feels stuck by fear or avoidance and wants clearer direction. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with practical changes in behavior. It often helps with anxiety, depression, and learning new coping skills. Client-Centered Therapy centers the person’s own goals and experience, with the therapist following the client's lead and reflecting what matters most to them.

Choosing the right approach is part of the work. Christina will talk with each person about their needs, goals, and preferences and then try approaches that fit. That process is collaborative and may shift as progress is made.

Confirm the available session formats before booking since the biography does not list specific options. Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow shorter check-ins when needed. Therapists can use these methods effectively over distance, and sessions can be adapted to focus on skill practice, problem-solving, or value-based goals depending on what the client wants.