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Otilia Rowe

Otilia Rowe, LCSW

New York

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LCSW - Life purpose and relationship support

  • Stress and anxiety
  • Career and direction
  • Trauma-informed methods

About Otilia

Otilia Rowe is a Licensed Clinical Social Worker (LCSW) with eight years of clinical experience based in New York. She works with adults who feel stuck after changes at work, in relationships, or with health, and with concerns such as stress, anxiety, trauma, relationship and intimacy issues, parenting strain, and questions about sexual identity and kink culture. She speaks English and Spanish and uses practical therapy methods to address everyday pressures and transitions.

Her style is direct and grounded. Sessions focus on concrete skills for stress management, emotional regulation, and improving communication. She helps people set small, achievable steps rather than offering abstract advice. Expect straightforward conversation and practical tools you can try between meetings.

Otilia draws on several evidence-based approaches including Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), and Eye Movement Desensitization and Reprocessing (EMDR). These methods are used to address traumatic memories, patterns in relationships, and difficulties with mood or avoidance. She adapts techniques to the person’s goals and situation.

She works with concerns such as attachment and abandonment, body image, fertility and fatherhood questions, blended family challenges, and compassion fatigue. She also supports people navigating gender dysphoria, autism and Asperger Syndrome, and those involved in BDSM, kink, and alternative sex culture. The focus is on practical problem solving and building skills that fit daily life.

Clients describe sessions as actionable and focused on next steps. To begin, a client would complete a short matching questionnaire and schedule an initial session to outline priorities and plan subsequent work.

How her therapeutic approaches work in online sessions

Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking committed steps toward them while learning to accept uncomfortable thoughts and feelings. It can help when someone is unsure what matters next or feels stuck by avoidance. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and actions and teaches practical strategies to shift unhelpful patterns. It is useful for anxiety, low self-esteem, and decision-making under stress. Eye Movement Desensitization and Reprocessing (EMDR) is used to work with distressing memories and the strong emotional reactions they trigger; it can reduce the intensity of traumatic reminders.

Finding the best approach is part of the work. The therapist will discuss goals and symptoms and collaborate with the client to try methods that fit those needs. That collaborative process guides whether sessions emphasize ACT values work, CBT skills training, EMDR for trauma processing, or a mix of approaches.

Session formats are not listed in the biography, so confirm current options before booking. Online formats can make it easier to fit therapy into a busy day, allow shorter check-ins when time is limited, and reduce time spent traveling. Working with a licensed professional remotely can let people keep continuity of care through career or location changes while focusing on practical steps for daily life.

Areas of expertise

Primary focus

Also works with

LGBTIntimacy-related issuesParenting issuesSelf esteemCareer difficultiesCoachingCompassion fatigue

Additional focus areas

AbandonmentAttachment issuesAutism and Asperger SyndromeAvoidant personalityBDSM, kink, and alternative sex cultureBlended family issuesBody imageCommunication problemsControl issuesDivorce and separationFamily of origin issuesFamily problemsFatherhood issuesFertility issuesGender dysphoriaGuilt and shameImmigration issuesImpulsivityInfidelityIsolation / lonelinessLife purposeVeteran and Armed Forces IssuesMood disordersMulticultural concernsObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSelf-loveSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Eye Movement Desensitization and Reprocessing (EMDR)Gottman MethodSolution-Focused TherapySomatic TherapyTrauma-Focused Therapy

Experience

8+ years

Listed in

New York

Languages

English, Spanish

Frequently asked questions

What kinds of problems does she address?

She works with stress, anxiety, trauma and abuse, relationship and intimacy issues, parenting concerns, career questions, and life changes.

How does she approach someone feeling stuck?

Her approach is direct and practical, focusing on concrete skills for emotional regulation, communication, and small actionable steps to try between sessions.

How much clinical experience does she have?

She has eight years of clinical experience working with adults on stress, relational issues, and trauma-related concerns.

What credentials and location are listed?

She is a Licensed Clinical Social Worker (LCSW) licensed in New York and practices from New York.

Which languages are supported in sessions?

Sessions are offered in English and Spanish.

Can international clients work with her?

She is not accepting international clients at this time.

How are sessions scheduled and paid for?

Costs vary with location and sessions use a subscription that can be canceled at any time.

What are the first steps to begin working together?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.

Otilia RoweLCSW

Continue with Otilia