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Megan Giacoletto

Profile / United States

Megan Giacoletto, LMSW

Michigan

Megan Giacoletto, LMSW - Stress and addiction support

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  • Cognitive Behavioral Therapy
  • Acceptance and Commitment Therapy
  • Motivational Interviewing

About Megan

Megan Giacoletto is a Licensed Master Social Worker (LMSW) practicing in Michigan with seven years of experience. She works with people facing stress, anxiety, addiction concerns, LGBTQ-related issues, grief, depression, and life changes. Megan focuses on building practical skills that help people cope with day-to-day challenges.

She uses clear, structured approaches in sessions. Conversations identify patterns in thoughts and behaviors. Clients try concrete strategies between appointments and review what works. The emphasis is on skill-building rather than long lectures or vague advice.

Megan draws from Cognitive Behavioral Therapy, Acceptance and Commitment Therapy, mindfulness techniques, motivational interviewing, and narrative methods. Those tools are used to address mood concerns, trauma and abuse, relationship and intimacy issues, sleep problems, and self-esteem. She also works with people experiencing bipolar mood shifts, ADHD, and process or substance addictions.

Additional areas of focus include chronic pain and illness, gender dysphoria, non-monogamous relationship dynamics, kink and alternative sex culture, hoarding, self-harm, and end-of-life concerns. These topics are approached with direct conversation about behaviors, values, and practical coping steps.

Sessions are collaborative and goal-oriented. Megan asks about what the client wants to change, suggests manageable experiments, and adjusts plans based on results. The working style is straightforward, with an aim to develop stronger routines and clearer decision-making.

To begin, clients complete a short questionnaire and schedule a first session. The initial meetings focus on immediate concerns, concrete goals, and a plan for the next few sessions.

How her CBT and ACT work in online sessions

Online sessions with Megan draw on Cognitive Behavioral Therapy to spot and change unhelpful thinking and behavior patterns. CBT sessions often include short experiments, thought records, and behavioral tasks that clients practice between meetings to test what helps with anxiety, sleep, or mood. She also uses Acceptance and Commitment Therapy to help clients name values and take committed steps toward them. ACT focuses on accepting difficult thoughts without letting those thoughts dictate behavior, which can be useful for grief, chronic illness, and long-term behavior change. Finding the right approach is collaborative. Megan will discuss which methods match a client’s goals and preferences and may combine techniques across CBT, ACT, and mindfulness. Together they set concrete goals and monitor progress, adjusting tasks and strategies over time. Confirm the session formats offered before booking so you know whether video, phone, or other options are available. Online sessions can make it easier to fit meetings into a workday, reduce travel time, and allow shorter check-ins when a quick update is needed. Practical scheduling flexibility helps clients try strategies consistently and track whether those strategies lead to small, useful changes.

Areas of expertise

Also works with

Relationship issuesTrauma and abuseIntimacy-related issuesSleeping disordersSelf esteemBipolar disorderCoping with life changesADHD

Additional focus areas

BDSM, kink, and alternative sex cultureChronic pain, illness, and disabilityDrug and alcohol addictionFamily problemsGender dysphoriaGuilt and shameHoardingHospice and end-of-life counselingImpulsivityLife purposeMood disordersPolyamory / non-monogamous relationshipsPost-traumatic stressProcess addiction (porn, exercise, gambling)Self-harmSelf-loveSex addictionSmoking / vaping cessationWomen's issuesWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Cognitive Behavioral Therapy (CBT)Mindfulness TherapyMotivational InterviewingNarrative Therapy

Experience

7+ years

Listed in

Michigan

Languages

English

Frequently asked questions

What concerns does she focus on?

She works with stress, anxiety, depression, addiction, grief, relationship and intimacy issues, trauma and many related concerns including ADHD and bipolar mood disorders.

How does she use Cognitive Behavioral Therapy?

She uses CBT to identify unhelpful thought and behavior patterns and to teach practical exercises clients can try between sessions.

What is her clinical background?

She has seven years of experience as a clinical social worker and holds an LMSW credential.

Where is she licensed to work?

She is licensed to see clients in Michigan.

Which languages are supported in sessions?

Sessions are offered in English.

Can international clients work with her?

International clients are not currently accepted.

How are sessions paid for?

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

How do I get started?

Select the See online therapy options button, complete a 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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Megan Giacoletto

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