Real conversations. Meaningful change.

Portrait of Selene Altamirano-Farrell, LCSW, a New York therapist with dark, curly hair, wearing a black top with floral tattoos visible.
A decorative crescent moon with orange flowers and green leaves, adorned with small stars and dots, on a yellow background.

Hi, I’m Selene

I’m a licensed therapist (LCSW, PMH-C) who helps adults move through trauma, anxiety, OCD, and the messy parts of life, including pregnancy and parenthood. If you’re stuck in your head, hard on yourself, caught in old patterns, or just tired of white-knuckling it, you’re in the right place.

How I Work

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I believe therapy works best when you can show up exactly as you are. It doesn’t have to feel formal or overly clinical. I bring warmth, honesty, and humor into my work, grounded in the belief that people are not broken—they’re doing the best they can with the experiences they’ve had.

My approach is trauma-informed and integrative. I draw from Eye Movement Desensitization and Reprocessing (EMDR), Exposure & Response Prevention (ERP), Internal Family Systems (IFS), DBT, and CBT. I tailor care to each person. Together, we build practical tools, explore deeper patterns, and work toward meaningful, lasting change.

As a therapist certified in perinatal mental health (PMH-C) and parent myself, I understand just how world-rocking parenthood can be. I support people navigating pregnancy, postpartum, and the messy realities of parenting. parenting.

The Practical Stuff

Insurance & Fees

I accept the following insurance plans through Headway:

  • Blue Cross Blue Shield (select plans)

  • Aetna

  • Cigna

  • Carelon Behavioral Health

I also offer private-pay sessions and can provide superbills for potential out-of-network reimbursement. Rates available upon request.

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Virtual Sessions

Sessions are held over secure, HIPAA compliant video. You’ll need to be located in New York State during sessions.

Email Me to Get Started!