01 · Who Steven works with

Steven works with stress, Anxiety, relationship issues and trauma and abuse

Steven lists 13 specialisms. Specialisms are the subjects Steven chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Steven's own words

What Steven says about the work

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

Something's wrong and you may or may not know why. Either way, you've come here and you're reading this because you need to make a change. Whether you are experiencing depression, anxiety, issues with self-doubt/self-confidence, existential difficulties, difficulties with relationships, or maybe life is great but you'd like it to be better by getting to deeper life issues, I am at your service. I'm looking forward to meeting you and getting to know you better. Let's walk your path together and create the life you want. I have an eclectic style, utilizing CBT/DBT, motivational interviewing, psychoanalysis, and mindfulness-based treatment modalities. No matter what, my aim is to meet you where you are. I work well with many different kinds of people and have worked with people of many different cultures and abilities/disabilities. Although it is not a requirement, spirituality/spiritual practice can be incorporated into our sessions. I am open to suggestion, if needed, and if requested, can provide spiritual guidance, especially regarding regular practice. Belief is not a requirement, and yet that too is something I am comfortable helping you process.

Steven Sanfilippo, on the BetterHelp listing · read 9 Oct 2026

03 · How Steven works

The 4 approaches Steven lists, in plain English

These are the clinical methods Steven lists. The descriptions are Maker Therapy's, not Steven'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 Steven runs a session.

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”.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Mindfulness-Based TherapyMBCT

Trains attention on what is happening right now - body, breath, the thought as it arrives - so distress can be observed rather than automatically acted on. Strongest evidence is in preventing depression from recurring, and it is usually taught as a practice you keep doing outside the session.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

04 · What happens next

From this page to a first session

Steven 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 Steven'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 Steven at this point.

2. Naming Steven specifically

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

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 Steven

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

• “You list both Dialectical Behaviour Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “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.

• “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

LMHC

Licensed in

New York

Licence

NY LMHC 008856

Licence number

008856

Licence expires

31 May 2027

NPI

1659859858

Years in practice

11

Gender

Male

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Steven'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 9 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 Steven. 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.