Good Earth Counseling

Susanna Guarino, LMHC
Therapy for individuals and couples 

Online appointments

NY and RI

LGBTQI affirming

(585) 294-4776

Contact Me

For couples...


Do you and your partner keep having the same fight, but nothing gets resolved?


Or maybe someone had an affair, and you're worried the relationship may be damaged beyond repair.


Or maybe you simply want to "check up" on your relationship before making a big life commitment, like buying a house or having a child.


Couples counseling is a wonderful way to improve your relationship, practice healthier communication, and reconnect with each other.


I'm trained in Gottman Levels 1 and 2, and Emotion Focused Therapy, which are the gold-standards for helping couples improve their relationships. I worked for 3 years teaching Healthy Relationships workshops full-time in the Finger Lakes, NY. I believe nourishing our relationships is one of the most rewarding choices we can make in life. Healthy relationships are essential to wellbeing!

"all suffering prepares one for vision" - martin buber

"you are the music while the music lasts" - ts eliot

For individuals...


Are you a sensitive, creative person struggling with burnout or overwhelmed from taking on too much? Are self-doubt or anxiety keeping you from being your true self and finding your voice? Are you adjusting to failure, success or another big life change?


Therapy can help you reconnect with yourself, your inspiration and what gets you grounded.

I enjoy working with individuals, especially creatives, who are struggling with issues in their relationships or with anxiety. I have extra training in helping new moms and dads (perinatal mental health) as they navigate an exciting but also often stressful time of transition.

If you're a creative person or couple who wants more from life, I would love to hear from you. Contact me so we can chat about what you're looking for and whether working together is a good fit.

About me...


I'm a licensed mental health counselor in NY and RI with a MS in Mental Health Counseling from St. John Fisher College and a B.A. in English Literature from SUNY Geneseo.

I help people find meaning in their lives, develop confidence and strengthen their relationships using elements of narrative therapy, CBT, ACT, existential and feminist theory. I am LGBTQI affirming, multiculturally oriented, and open relationship/polyamory friendly.

I look forward to working with you!


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


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.

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