- Anxiety and stress
- Relationship conflict
- ACT and CBT methods
About Kristina
Kristina MacDonald is a Licensed Mental Health Counselor (LMHC) practicing in New York with eight years of clinical experience. She works with adults, teens, and couples and lists concerns such as anxiety, depression, ADHD, relationship conflict, and major life transitions. She also notes work with multicultural couples and issues arising from cultural differences and identity.
Kristina focuses on practical ways to reduce overwhelming thoughts and improve daily functioning. Sessions often look at how thoughts, behaviors, and values connect, then test small changes that feel doable. She uses methods that encourage noticing thoughts without getting swept up in them and building clearer habits for handling stress.
Her approach blends Acceptance and Commitment Therapy with Cognitive Behavioral Therapy and client-centered listening. That means Kristina helps people name what matters to them, notice patterns that get in the way, and try new behaviors gradually. Motivational Interviewing is part of her style when clients want help deciding on changes.
She pays attention to relationship patterns and communication problems. That includes blended family issues, attachment and abandonment concerns, and the stress caregivers face. Kristina also addresses issues such as body image, addictions, chronic illness or pain, grief, and co-morbid conditions.
Clients can expect straightforward conversation, guided exercises, and short practice tasks between sessions. Her work aims to reduce avoidant habits and increase small, meaningful steps toward clearer goals. To start, clients use the platform matching process to schedule a first visit and see whether this approach fits their needs.
Therapeutic approaches and how online sessions can help
Kristina commonly uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in her work. ACT focuses on identifying what matters to a person and taking small actions that align with those values, which can help with avoidance and low motivation. CBT looks at how thoughts and behaviors interact and uses practical steps to change unhelpful patterns, useful for anxiety and mood concerns.She also incorporates client-centered listening to make space for each person’s experience and motivational interviewing when people want help clarifying goals and motivation. Finding the right mix is collaborative - she works with clients to choose approaches based on their needs, goals, and preferences rather than applying one rigid method.
If you want to pursue online sessions, confirm the exact session formats before booking since the profile does not specify formats here. Online work can make it easier to fit appointments into a busy day, allow shorter check-ins when schedules are tight, and reduce travel time. Kristina uses her therapeutic approaches to guide focused work in sessions, and she will help decide together how best to structure remote visits so they fit into everyday life.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
8+ years
Listed in
New York
Languages
English
Frequently asked questions
What kinds of concerns does she help with?
She works with anxiety, stress, depression, ADHD, relationship conflict, and life transitions, among other concerns listed in her profile.
What is her general therapy style?
Her style mixes Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, client-centered listening, and motivational interviewing to support practical change.
How many years has she been practicing?
She has eight years of clinical experience as a licensed counselor.
Where is she licensed and based?
She is an LMHC licensed in New York and practices from that location.
Which languages are sessions offered in?
Sessions are offered in English.
Can clients from other countries work with her?
She does not accept international clients at this time.
How does payment and cost work?
Cost varies with location; sessions use a subscription that can be canceled at any time.
What do I do to get started?
Select the See online therapy options button, complete the short matching questionnaire, and schedule your first session.