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 deeply to you without judgment. I believe most people in the world could benefit from talking to a therapist once in awhile! Narrative therapy techniques and existential theory also inform my work. 

I have experience in working with adults and adolescents who may be dealing with relationship issues, career indecision, anxiety, sexual dysfunction, low self-esteem and other issues. I have special experience working with adolescents and college-age adults, but I enjoy working with people of all ages, from all walks of life. 

Maybe you're feeling anxious or more down than usual, struggling with a recent loss, or having difficulty with relationships. 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 a lot of conflict, feeling disconnected or other issues, couples therapy can help, too.

 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. I am also working towards a specialization in Perinatal Mental Health.

I look forward to working with you!


  • Individual therapy

  • Couples therapy

  • In-person appointments

  • Online appointments

    •  Online counseling is just like therapy in person, except that you talk to your therapist through a platform like Skype. Instead of Skype, your therapist uses a platform that is secure, encrypted and HIPAA compliant. You can speak to the therapist from the comfort of your own home, without the inconvenience of driving anywhere. The technical term for this is tele-mental health.

For people struggling with:

  • Depression

  • Anxiety

  • Relationship conflict

  • Marital distress

  • Career indecision

  • Sexual dysfunction

  • Postpartum depression

  • Adjusting to new life circumstances

  • Grief

  • Infidelity

  • Many other issues



  • Who can benefit from therapy? Therapy can help with a range of issues, from relationship distress to anxiety to dealing with creative blocks.

  • What is therapy like? Therapy is essentially a supportive, empathic conversation in which you experience deep listening. Depending on what you're working on, you may see your problems from a different perspective, learn more about yourself, heal from past trauma and develop new skills for living your best life.

  • Is everything confidential in therapy? Everything is confidential in therapy, unless you are in danger of hurting yourself or someone else, or you reveal that a child is being abused. Then, the therapist is legally required to notify the appropriate resource.

  • Do you take insurance?  I accept Aetna insurance. For all others, I can provide an invoice which you can independently submit to your insurance provider seeking reimbursement for an out-of-network appointment. Rates are offered on a sliding fee scale.


Email: susanna@goodearthcounseling.com

(585) 294-4776

"All suffering prepares one for vision." Martin Buber


© 2018 by Susanna Guarino. Photography copyright Susanna Guarino. Professional photo by Fred SanFilipo.