Therapy Specialties in Wellesley & Across Massachusetts
Finding the right kind of therapy matters. When you're struggling with specific challenges like an eating disorder, trauma, or anxiety, working with a therapist who has specialized training and experience in those areas leads to better outcomes. At Irena Cafasso Counseling, we focus on the mental health concerns that require depth, nuance, and evidence-based approaches tailored to your unique needs.
Our therapy specialties serve adults throughout Massachusetts via secure telehealth. Whether you're in Wellesley, Greater Boston, or anywhere across the state of Massachusetts, you can access expert care that addresses the root causes of your struggles, not just surface symptoms. Below, you'll find an overview of our areas of focus and what makes our approach different.
Specialized Therapy We Provide
We provide specialized therapy for adults dealing with complex mental health and emotional challenges. Each specialty area represents a focused approach backed by evidence-based treatment modalities and compassionate, individualized care.
Evidence-based support for restriction, binge or purge cycles, compulsive exercise, and rigid food rules. We reduce shame, build flexible routines, and coordinate with your PCP or dietitian when helpful. Sustainable recovery.
Calm worry loops, lift motivation, and manage panic using ACT, DBT-informed skills, and mindfulness. Blend skills with insight to restore energy, sleep, and focus. Progress comes through small, doable steps.
Compassionate space for acute or complicated grief without timelines or pressure. We honor your bond, reduce overwhelm, and support daily functioning while integrating memories and meaning at a humane pace.
Clarify values, strengthen communication, and set workable boundaries during moves, career shifts, caregiving, new parenthood, breakups, or identity changes. Leave with scripts, experiments, and structure that make change feel manageable.
Reduce body checking, comparison, and avoidance while growing body neutrality and self-respect. Practical practices for kinder self-talk, clothing challenges, and social triggers. HAES-aligned and culturally responsive. Pacing follows your nervous system.
Expressing your needs, setting boundaries, and navigating conflict effectively are learnable skills. You'll practice assertive communication that strengthens relationships rather than avoiding difficult conversations or exploding in frustration.
Tools for burnout, overwhelm, and decision fatigue. Learn emotion regulation, boundary scripts, and micro-habits that restore bandwidth. We tailor routines that fit real life rather than ideal schedules or plans.
What Makes Our Care Different
Integrated modalities
We combine psychodynamic therapy (understanding patterns and roots) with ACT, DBT-informed strategies, and mindfulness so you gain both insight and actionable skills.
Treatment is trauma-informed and HAES-aligned, with sensitivity to culture, identity, and lived experience.
Measurable, collaborative progress
We set goals together, check in regularly, and adjust what isn’t working. Expect concrete tools scripts, worksheets, micro-habits, and weekly experiments to make change realistic in daily life.
Coordinated care when helpful
For eating disorders and complex presentations, we can collaborate (with your consent) with your PCP, dietitian, or other providers to support medical safety and sustainable progress.
Secure statewide telehealth
Sessions are delivered via a HIPAA-secure platform. If you are physically in Massachusetts at the time of session, you’re eligible for care. We’ll share privacy tips (headphones, environment) so therapy feels focused and safe.
Not Sure Where to Start?
Choosing the right therapy specialty can feel overwhelming, especially if you're dealing with multiple challenges or aren't sure what to call what you're experiencing. That's completely normal. Many clients come to us uncertain about which service best fits their needs.
Quick Guide:
If boundaries, communication, or a big life change are the focus
Ready to Get Started?
If you're thinking, "It might be time," that's enough to begin. Schedule an appointment and share a few lines about what you're looking for, most clients book an initial consultation within 1–2 weeks.
Prefer to talk first? Call 617-913-2181. Together we'll decide on a good starting plan and pace.
Frequently Asked Questions
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