01 · Who Mara works with

Mara works with stress, Anxiety, relationship issues and family conflicts

Mara lists 5 specialisms and 19 further focus areas. Specialisms are the subjects Mara chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Mara's own words

What Mara says about the work

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

Sometimes life brings deep emotional pain, and change can feel scary or impossible. I’m Mara Framesqui, an LMHC licensed in New York with five years of experience. I’m here to support you in finding more joy, building stronger relationships, and creating a hopeful vision for your future. Together, we will focus on your strengths and learn tools to treat yourself with patience and kindness, taking positive steps toward change-one day at a time.

Even when we cannot change our environment significantly, we can change the way we perceive it. This shift can make a profound difference and help you live a more fulfilling life. My approach includes understanding your history with compassion, and helping you replace negative patterns with positive ones.

I have experience working with depression, borderline personality disorder, self-harm, attachment disorder, anger management, behavioral issues, self-esteem, and spirituality. My ideal client is someone ready to focus on personal growth and healing.

Mara Sambugaro Framesqui, on the BetterHelp listing · read 7 Oct 2026

03 · What happens next

From this page to a first session

Mara 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 Mara'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 Mara at this point.

2. Naming Mara specifically

   BetterHelp matches algorithmically by default, so asking for Mara 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 Mara.

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.

04 · Before you commit

2 questions worth asking Mara

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

• “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.

• “You offer sessions in English, Italian and Portuguese. Does the work change depending on which we use?”

  People often reach different material in a first language than in a second. Worth naming before you choose.

05 · Practical details

Credentials and licensing

Credential

LMHC

Licensed in

New York

Licence

NY LMHC 013722

Licence number

013722

Licence expires

28 Feb 2029

NPI

1871273532

Years in practice

5

Gender

Female

Languages

English, Italian, Portuguese

International clients

Not accepted

Listed since

15 May 2026

06 · Provenance

Where every line on this page came from

Mara'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 Mara. 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.