- ACT and CBT
- Mindfulness practices
- Internal parts work
About Desiree
Desiree Maldonado-Peluffo is an LICSW practicing in Massachusetts with 10 years of professional experience. She works with people managing stress, anxiety, relationship strain, family conflict, depression, and life transitions. She also focuses on issues like attachment difficulties, codependency, and social anxiety and phobia.
Her sessions aim to help people build practical coping skills and clearer patterns for relating to others. She draws on Acceptance and Commitment Therapy (ACT), Cognitive Behavioral Therapy (CBT), mindfulness practices, and Internal Family Systems to offer different ways of working when feelings become overwhelming. Expect straightforward tools you can use between sessions to notice and shift unhelpful thoughts and habits.
Desiree often helps clients explore how past hurts and attachment wounds affect present relationships. She uses internal parts work to map how different inner experiences show up, and then supports practical steps for better communication and boundaries. Mindfulness techniques are offered to improve moment-to-moment awareness and reduce reactivity.
In therapy she focuses on concrete skills like recognizing automatic thoughts, practicing new behavior, and clarifying values to guide change. Sessions balance talking through current problems with exercises that build new patterns. She works in English and Spanish and sees clients based in Massachusetts.
To begin, prospective clients follow the site matching steps and schedule a first session. Fees vary by location, and sessions use a subscription that can be canceled at any time. International clients are not currently accepted.
How therapy approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) helps people notice what truly matters to them and take committed steps toward those values, even when anxiety or fear is present. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with concrete behavioral experiments to reduce avoidance and increase confidence. Mindfulness Therapy offers simple practices to shape attention and reduce reactivity, useful when social anxiety or stress makes it hard to be present.Finding the right approach is part of the process. The therapist will work collaboratively with the client to decide which methods fit their goals and preferences. Sessions may blend elements from different approaches so the work stays practical and relevant to day-to-day challenges.
Session format details are not listed in the biography, so confirm current online options before booking. Online work can make it easier to fit therapy into a busy week, reduce travel time, and allow shorter check-ins when schedules are tight. Some approaches lend themselves to guided exercises during the session and homework between meetings, which can be convenient to practice at home or during breaks from work. Licensed professionals adapt tools like CBT worksheets, ACT exercises, and mindfulness practices to the online setting so the focus remains on usable skills rather than theory.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
Massachusetts
Languages
English, Spanish
Frequently asked questions
What kinds of concerns does she help with?
She works with stress, anxiety, relationship and family difficulties, depression, and coping with life changes. Additional focus areas include attachment issues, codependency, and social anxiety and phobia.
What is her therapeutic style?
She uses a mix of Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, mindfulness, and Internal Family Systems. The work is practical, with skills and exercises to use between sessions.
How much experience does she have?
She has 10 years of professional experience working with the listed concerns. That experience informs how she combines approaches for different situations.
What are her credentials and location?
She is an LICSW (Master of Arts, LICSW) based in Massachusetts. Licensing and credential details are provided as MA LICSW in her profile.
Which languages are supported?
Sessions are offered in English and Spanish.
Can people outside the US work with her?
International clients are not currently accepted. She works with clients located in Massachusetts.
How do sessions and cost work?
Fees vary with location and sessions use a subscription that can be canceled at any time. Specific pricing is provided during the scheduling process.
How do I begin a first session?
Use the See online therapy options button, complete a short matching questionnaire, and schedule a first session through the site flow.