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Julia Caruso

Profile / United States

Julia Caruso, LICSW

Massachusetts

LICSW - Stress and Trauma

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  • Cognitive Behavioral Therapy
  • Attachment work
  • 45 minute sessions

About Julia

Julia Caruso is an LICSW licensed in Massachusetts with four years of clinical experience. She works with stress, anxiety, addictions, relationship concerns, trauma and abuse, and self-esteem difficulties. Julia uses practical therapies to help people notice patterns and try new ways of responding.

Julia blends Cognitive Behavioral Therapy with Acceptance and Commitment Therapy and attachment-focused work. She explains thoughts and behaviors plainly and helps people practice alternative responses in everyday life. Sessions are direct and supportive, with attention to how past relationships shape current patterns.

Her background includes work with trauma, attachment wounds, and addictive behaviors. She also addresses issues such as abandonment, codependency, commitment and communication problems, and family of origin concerns. She frames these topics in clear, concrete steps rather than abstract theory.

Julia typically schedules 45-minute sessions so there is time to talk and do practical exercises. New clients are asked to start with a video meeting for the first session, and she notes a 24-hour response window for messages. She does not meet with international clients.

Outside of clinical work she is a musician, artist, and gamer, and sometimes draws connections between imaginative worlds and inner experience. That perspective informs how she uses creative examples to make therapeutic strategies feel relevant and doable.

How Julia Uses Structured Approaches Online

Julia uses Cognitive Behavioral Therapy to identify patterns in thoughts and behaviors and to practice concrete changes. CBT focuses on noticing automatic thoughts, testing them, and trying new actions to reduce distress and improve day-to-day functioning.

She also uses Acceptance and Commitment Therapy, which helps people clarify personal values and take committed actions even when uncomfortable feelings remain. Attachment-Based Therapy is part of her approach for people who want to understand how early relationships affect current connection and trust issues.

Finding the right approach is collaborative. Julia works with each person to see which methods fit their goals and preferences. She reviews options together and adjusts the plan based on what helps in regular sessions.

Her profile notes 45-minute sessions and that the first visit for new clients should be on video. Confirm the current session formats before booking so you know what is offered now. Online sessions can make it easier to fit therapy into a busy week, allow a quieter check-in when schedules are tight, or let someone choose a shorter or longer commute-free option depending on what they need.

Areas of expertise

Additional focus areas

AbandonmentAttachment issuesAvoidant personalityCodependencyCommitment issuesCommunication problemsDependent personalityFamily of origin issuesForgivenessGuilt and shameImpulsivityIsolation / lonelinessLife purposeMood disordersPost-traumatic stressProcess addiction (porn, exercise, gambling)Self-loveSex addictionSexuality

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Jungian TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

4+ years

Listed in

Massachusetts

Languages

English

Frequently asked questions

What concerns does she help with most often?

She focuses on stress, anxiety, addictions, relationship concerns, trauma and abuse, and self-esteem struggles.

How does she use Cognitive Behavioral Therapy?

She uses CBT to help people notice unhelpful thoughts and test alternative responses in daily life. The approach is practical and skills-focused.

What is her clinical experience?

She has four years of experience working with trauma, attachment issues, addiction, and mood-related concerns.

What are her credentials and location?

She holds an MA and is an LICSW licensed in Massachusetts.

Which languages are supported and can international clients join?

Sessions are offered in English. International clients are not currently accepted.

What session formats does she offer?

Her biography notes a preference for 45-minute sessions and that new clients begin with a video session. Confirm current session options before booking.

How are costs handled?

Cost varies with location and sessions use a subscription that can be canceled at any time.

What should I do to get started?

Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.

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Julia Caruso

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