01 · Who Deborah works with

Deborah works with stress, Anxiety, addictions and trauma and abuse

Deborah lists 11 specialisms and 40 further focus areas. Specialisms are the subjects Deborah chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Deborah's own words

What Deborah says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am licensed in New York with 36 years of professional work experience. I have experience in helping clients with stress and anxiety, coping with addictions, trauma and abuse, & bipolar disorder. I work with my clients to create an open and safe environment where thoughts and feelings can be shared without fear of judgment. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.

Deborah Giannone, on the BetterHelp listing · read 7 Oct 2026

03 · How Deborah works

The 2 approaches Deborah lists, in plain English

These are the clinical methods Deborah lists. The descriptions are Maker Therapy's, not Deborah's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Deborah runs a session.

Acceptance and Commitment TherapyACT

Rather than trying to argue a painful thought away, ACT works on loosening its grip and getting on with what matters to you anyway. Sessions spend real time naming your values, then building action around them while difficult feelings are still present.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

04 · What happens next

From this page to a first session

Deborah practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Deborah's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Deborah at this point.

2. Naming Deborah specifically

   BetterHelp matches algorithmically by default, so asking for Deborah is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Deborah.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

3 questions worth asking Deborah

Built from what Deborah actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Deborah's - Deborah has not seen them and is under no obligation to answer any of them.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 36 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LCSW-R

Licensed in

New York

Licence

NY LCSW-R 074233

Licence number

074233

Licence expires

28 Feb 2029

NPI

1881706950

Years in practice

36

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Deborah's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Deborah. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.