“Our sorrows and wounds are healed only when we touch them with compassion.” – Buddha

Becoming a mom, starting a new career, entering adulthood, losing a loved one. These major life events are often more challenging than we expect. It’s normal to feel overwhelmed, sad, anxious or a million other emotions and for past traumas to resurface as you grapple with these feelings. And it’s normal to need help.

Whether you are new to therapy or a “veteran” to the process, asking for help when in need is courageous. It is inherent strengths like courage that will set the foundation for our work together. You already have the tools. I will help you realize and utilize what’s already within.



Trauma has many different faces. It can be a “simple trauma” which refers to a one time event or a series of unfavorable circumstances resulting in a more…              Read more


Giving birth to a child is the most life changing occurrence most will experience. It’s a perspective changing, brain-changing, body- -changing event…Read more

Anxiety & Stress

Feeling nervous is a part of the human experience. While not a comfortable feeling, nervousness has a purpose. It alerts us that a situation, relationship,…Read more

Cognitive Behavior Therapy (CBT)

Cognitive Behavioral Therapy is an evidenced based treatment proven to be extremely effective in treating mood disorders such as anxiety and depression…      Read more

Eye Movement Desensitization Reprocessing (EMDR)

Eye Movement Desensitization Reprocessing is a way to treat trauma. Whether it be a simple trauma, a series of complex traumas, a relationship trauma or…  Read more

Family/Relationship Issues

Our family of origin is supposed to provides us with security, self-esteem, love. When one or all of those are missing our foundation is jeopardized. Add to…Read more

Latest Blog Post

Mental Health in the Age of Trump

Powerlessness is a common theme these days. Many of those who voted for Donald Trump for president did so to combat the feeling that the world they’d known had all but vanished. Many more who voted against him have spent the last year feeling that the world they’d hoped for was a mirage. Either way, the sense of a loss of agency in one’s own life is extreme, and can leave individuals with feelings of hopelessness and depression.

We are indeed in the throes of a substantial identity crisis as a nation, and, taken as a whole, that is an extremely overwhelming and disempowering concept. A more helpful perspective may be to think about our own identities at this time, and what sort of person and contributor we want to be. After all, the collective is made up of nothing but many individuals; and recognizing the choices you do have is the best possible antidote to larger feelings of helplessness.

These choices can be something as simple as choosing what book to read next, or opting to spend the night at home on the couch rather than socializing. Self-care is extremely valuable to emphasize when you feel a lack of ability to effect change in the world at large.

They can also be larger goals you set for yourself (“I will spend 4 hours a month volunteering in my community” or “I will apply to five new jobs a week”). Focus on specificity if you do set out a more ambitious task for yourself. In the two previous examples, a prescribed amount of time or work is named. Specificity provides boundaries, which help to make us feel safer and more in control, directly combating the powerlessness that we may be prone to at this time.

Finally, and perhaps counterintuitively, sometimes leaning into the very things we feel most resistant to are the most empowering. For example, feelings of helplessness can often lead to anger and lashing out. What impact would it have to focus on making the choice to be kinder and more compassionate, in particular to individuals with whom we disagree? Most of us will find this suggestion to be extremely challenging. But overcoming challenges is one of the ways we typically define success, and often simply making an attempt to do so leaves one feeling stronger and more self-determined.

Once we have taken steps to focus on what we can control as individuals, it can then be useful to step back and assess the bigger picture. Societies are subject to many cycles: economic, emotional, environmental. Balancing what will be best to meet our own needs with what will contribute to the health of the world around us can feel like a lot of work. But if we take it one step at a time: recognizing the agency we have over our own lives, and then how that impacts others, we find ourselves on the path to reclaiming a healthy mental state.


Phone: (929) 302-2488

Email: jessinalavieralcsw@gmail.com

Located on Manhattan’s Upper West Side, I provide insight-oriented psychotherapy to adolescents and adults at all stages.