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LCSW-R

Holly Spire, LCSW-R

  • Experience30 years
  • LocationNew York
  • Focus areasStress and Anxiety, Grief, and Self esteem
  • Therapy approachesInternal Family Systems and Client-Centered Therapy
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About Holly

Holly Spire brings nearly three decades of clinical social work experience to her practice as an LCSW-R in New York, supporting people through stress, anxiety, grief, depression, and life transitions.

Background and approach

She centers a collaborative stance that honors each person's strengths and lived experience, helping clients build confidence and motivation while navigating difficult emotional challenges. Holly emphasizes that people are the experts in their own stories and works to create practical pathways toward healing and greater self-trust.

Her work integrates trauma-informed perspectives and body-focused approaches, drawing on Internal Family Systems alongside mindfulness and somatic tools to address patterns that contribute to low self-esteem, post-traumatic stress, and the aftereffects of abusive relationships.

She also attends to issues that intersect with health and caregiving, including cancer-related concerns, caregiver stress, body image and eating-related struggles, and women's health matters. Holly aims to meet clients where they are and to support steady, client-led progress toward clearer goals and improved daily functioning.

Integrating somatic, IFS, and skills-based care online

Holly combines Internal Family Systems with client-centered and DBT-informed strategies to help clients explore internal parts, build emotional regulation skills, and reconnect with bodily experience. Internal Family Systems supports identification and compassionate dialogue with different inner parts to reduce internal conflict and trauma-related patterns. Client-centered therapy emphasizes the client's expertise in their own life, offering empathy and reflective listening to foster insight and self-directed growth. DBT provides practical tools for distress tolerance, emotion regulation, and interpersonal effectiveness that can be practiced between sessions.

Choosing the right combination of approaches is part of the therapeutic process, and Holly treats that as a collaborative conversation. She works with each person to consider goals, preferences, and responses to different techniques, adjusting the balance of somatic work, parts-oriented exploration, and skills training as needed to fit the client's needs.

Online sessions are available by video, phone, live chat, or text-based messaging to provide flexibility for scheduling and accessibility. These formats allow ongoing skills practice, check-ins between appointments, and the ability to work from familiar environments while maintaining consistent progress toward therapeutic goals.

Frequently asked questions

What kinds of concerns does Holly typically address?
She works with people facing stress, anxiety, grief, depression, low self-esteem, and coping with life changes, and also focuses on body image, cancer-related issues, caregiver stress, domestic violence, eating concerns, narcissistic abuse, post-traumatic stress, self-love, sexual assault and abuse, women's issues, and young adult issues.
What is Holly's therapeutic style and approach?
Her approach is collaborative and client-centered, using Internal Family Systems, mindfulness, somatic techniques, DBT skills, and trauma-focused methods to help clients explore internal parts, regulate emotions, and develop practical coping skills.
How much clinical experience does she have?
Holly has 30 years of professional experience in clinical social work, bringing a long history of working with trauma, mood concerns, and life transitions.
What are her credentials and where is she based?
She is licensed as an LCSW-R with the registration NY LCSW-R 074510 and practices in New York.
Can someone outside the United States work with her?
She does not accept international clients at this time and provides services to clients located within the permitted regions.
In what formats are sessions offered?
Sessions are offered via video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and needs.
How are sessions priced?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
To get started, select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyGriefSelf esteemDepressionCoping with life changes

Additional focus areas

Body imageCancerCaregiver issues and stressDomestic violenceEating and food-related issuesNarcissismPost-traumatic stressSelf-loveSexual assault and abuseWomen's issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyDialectical Behavior Therapy (DBT)Mindfulness TherapySomatic TherapyTrauma-Focused TherapyInternal Family Systems

Experience

30+ years

Licensed

New York

Languages

English