Good Earth Counseling

Susanna Guarino, LMHC
Therapy for individuals, couples

*Online appointments only due to COVID-19*

NY and RI

LGBTQI affirming.

(585) 294-4776.

Contact Me

It takes courage and self-awareness to begin the counseling process. I take a person-centered, strengths-based approach, which means therapeutic work will be collaborative and I will listen without judgment. I believe most people in the world could benefit from talking to a therapist once in awhile!

Maybe you're feeling anxious or more down than usual, struggling with a recent loss, or having difficulty with relationships. I offer two services - individual and couples therapy. Individual therapy can help you to learn about yourself, develop the skills to deal with difficult relationships, and make many other positive changes. If you're a couple struggling with conflict, feeling disconnected or other issues, couples therapy can help, too.

Areas of expertise: Relationships, anxiety, college students/young adults, Perinatal Mental Health

Narrative therapy techniques, CBT, ACT, existential and feminist theory inform my work. I'm a licensed mental health counselor in New York State and Rhode Island with a MS in Mental Health Counseling from St. John Fisher College and a B.A. in English Literature from SUNY Geneseo. 

LGBTQI affirming.

I look forward to working with you!


Puedo hablar contigo un poco de español, pero no puedo hablar con fluencia.

"All suffering prepares one for vision." - Martin Buber


Contact Me

Reaching out to a therapist can feel like a big step. I get it. I don't bite! Feel free to call if you want to chat a bit and see if this might be a good fit for you. I can accept Aetna insurance - otherwise, I offer a sliding fee scale. 

160 Allens Creek Rd

Suite 160

Rochester, NY 14618

Tel: 585-294-4776


"Wherever you go, there you are." - Jon Kabat-Zinn

© 2020 Susanna Guarino, LMHC