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- Client-centered therapy
- DBT skills
- Mindfulness practice
About Holly
LCSW-R in New York with 30 years of clinical experience, Holly Spire helps people manage stress, anxiety, grief, low self-esteem, depression, and life transitions. She uses client-centered work along with trauma-informed practices to guide conversations about what feels most pressing for each person.
Holly emphasizes listening and reflection as the core of her approach. She follows client-centered therapy principles that keep the individual's voice central. She also draws on Dialectical Behavior Therapy (DBT) skills and mindfulness practices to help people find practical tools for emotional regulation and distress tolerance.
When trauma has shaped reactions to daily life, she integrates trauma-focused and somatic approaches to address body-held experiences and memories. This can include simple body-awareness exercises alongside talking through difficult memories. The focus is on small, manageable steps rather than rapid change.
Holly has worked across a range of concerns that often overlap, such as eating and body-image issues, caregiver stress, cancer-related concerns, sexual assault and abuse, and post-traumatic stress. She also supports people coping with narcissistic abuse and other interpersonal harms. Her work includes attention to women's issues and young adult challenges.
Her practice treats people as the experts of their own stories and builds on strengths clients already have. The process begins with what the client wants to change and moves at a pace set by them. Practical coping strategies and skill-building are mixed with trauma-aware listening and body-centered attention.
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Approaches used in remote sessions
Holly commonly draws on client-centered therapy, DBT skills training, and mindfulness practices in her work. Client-centered therapy focuses on listening, reflection, and prioritizing the person’s own goals and perspectives. DBT skills offer concrete tools for emotion regulation, distress tolerance, and clearer interpersonal boundaries. Mindfulness practices help people notice thoughts and body sensations so they can respond rather than react.Choosing the right approach is part of the work. She will talk with each person about symptoms, goals, and preferences and then try methods that fit those priorities. That process is collaborative and may mix talking, skill practice, and gentle body-awareness exercises over time.
The biography does not list specific session formats, so confirm current session options before booking. Online sessions can make it easier to fit therapy into a busy week, reduce travel time, allow shorter check-ins when needed, and let people use tools like guided mindfulness between sessions. Therapists, including licensed professionals, adapt methods to the online setting so practical skills and trauma-informed care remain central.
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Areas of expertise
Additional focus areas
Therapeutic approaches
Experience
30+ years
Listed in
New York
Languages
English
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Frequently asked questions
What concerns does she address?
She works with stress, anxiety, grief, self-esteem, depression, and coping with life changes. Additional areas include body image, eating issues, caregiver stress, cancer-related concerns, and trauma-related matters.
What therapeutic styles does she use?
Her work uses client-centered therapy as the foundation, with DBT skills, mindfulness, somatic techniques, and trauma-focused approaches as needed. Sessions combine talk therapy with practical skills and body-awareness work.
How much clinical experience does she have?
She has 30 years of professional experience providing mental health services. That span reflects work across a variety of settings and client concerns.
What are her credentials and where is she based?
She holds the credential LCSW-R and practices in New York.
Which languages are supported?
Sessions are offered in English.
Are international clients accepted?
She does not accept international clients at this time.
How are sessions paid for and what do they cost?
Cost varies by location and sessions use a subscription model that can be canceled at any time. Exact rates depend on the chosen subscription and location.
How do I begin working with her?
Start by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session. That process gathers basic information and sets the first appointment.
Online talk therapy is not emergency care. If you are in danger, use the urgent help numbers.