Areas of Expertise

College students and young adults

Whether you're in a relationship and you'd like it to be better, or you are struggling to find a healthy relationship, counseling can help! Maybe you're a couple having the same fight over and over, or so much distance has grown that now you're living separate lives. In couples therapy, you can have a safe space to explore what isn't working, and work towards a happier and deeper connection with each other. You can learn new ways of communicating, uncover "hidden issues" that are driving your ongoing fights, and start to feel closer.


Or, maybe you're having trouble finding close relationships, or you're struggling with difficult relationships with family members, friends or coworkers. While relationship dynamics are not 100 percent in our control, we are in charge of how we are contributing to those dyanmics. You can explore your role, discover patterns you'd like to change (and those you'd like to keep) and feel more self-confident and sure of yourself in relationships.


I have spent the past 3 years working for a program called Healthy Relationships of the Finger Lakes. So I've been immersed in learning about relationships and how to improve them, and helping share that information with others. I have special training in couples counseling, too.


Contact me here.

There are more helpful resources for couples here

Young adulthood is a time of exciting transitions. There's a lot of uncertainty about the future, too. It's thrilling - but can be anxiety-inducing. You might feel insecure, unsure of how to form close relationships with all these new people you are meeting. You might experience pressure to choose a future career, but feel lost. And sometimes, navigating how to deal with your family now that you're an adult is a challenge, too. Counseling can help you work through these transitions, and develop a sense of self-worth and self-efficacy.


 I completed my internship for my MS working with college students at St. John Fisher College's Health and Wellness Center. Since then, I have continued to work with young people in settings like high schools and an outpatient clinic. I would love to chat more with you about how you're doing and where you'd like to get to. Feel free to get in touch. 

One in five to seven women will experience a mental health issue like depression or anxiety during the perinatal period before and after pregnancy (up to two years after giving birth). Supporting new moms - and dads- is therefore critical. Sometimes women feel embarrassed that they are having difficulties, so remember - it's very common, and you are not alone. I am currently completing a training in perinatal mental health through Postpartum Support International, so that I can be there for new moms. Here is some more information for new parents

Please note: This is a specialty I'm working towards, because I care a lot about helping women to thrive. I will have completed the PSI training as of June, 2020.

New moms and dads
(perinatal mental health)
Relationships and couples counseling

Do you worry all the time? Do you feel extremely self-conscious and have a hard time getting comfortable when socializing? Do you experience physical symptoms, such as heart palpitations, shaking limbs or even panic attacks? There's good reason to feel anxious in this world. You might worry a lot about the current pandemic, or climate change, or many other issues, in addition to worries about your own life or about how other people perceive you.


But anxiety doesn't have to control your life or haunt you all day long, or keep you up at night. You can learn to make friends with your fear, to recognize it and accept it, but to remain the director of your own life. There are also coping skills that can help ground you when you're very triggered with strong emotions, whether that emotion is anxiety or something else like anger. I have worked with many people who struggle with anxiety, from college students dealing with social anxiety to young professionals having panic attacks in the workplace. Your anxiety does not have to negatively impact your life. Please feel free to reach out to schedule an appointment.

© 2020 Susanna Guarino, LMHC