Slow down.

Explore patterns.

Create change.

Therapy can help bridge the gap
between awareness and action.

Many people come to therapy feeling overwhelmed and seeking guidance. Starting therapy can feel daunting, especially if you’ve had difficult or disappointing experiences with therapy in the past. I have found that each client requires a different approach to therapy depending on the crossroads at which they find themselves.

Therapy can create space between what we experience and how we respond.

People come to therapy
for many different reasons.

Some examples of issues I frequently help people work through:

  • Anxiety & Chronic Stress

  • Burnout & Work-Life Balance

  • Relationships & Communication

  • Life Transitions & Major Changes

  • Navigating Neurodivergence

  • LGBTQIA+ Mental Health

  • Therapy for Mental Health Professionals

  • Identity, Authenticity & Self-Understanding

Your experience, however, doesn’t need a category in order for us to explore it together.

Similar to nature, our inner landscapes are constantly shifting and changing shape. Therapy can meet you wherever you are at and offer space to understand patterns, navigate change, work through relationships, and make sense of experiences that may be difficult to put into words.


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Therapy with me is flexible and responsive.

Our conversations will shift depending on what feels most alive for you in the moment. I don't believe therapy needs to look the same from one session to the next. Some interactions are more reflective, while others are focused and practical. Sometimes we may spend time resolving a longstanding issue. Other sessions may be more action oriented or about specific situations that are happening in your life. I’m always active, engaged, and deeply listening to the content and emotions behind what you are saying. I adjust my therapeutic approach depending on who I’m speaking with, while maintaining a consistent focus on understanding your life patterns and supporting meaningful change.

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Cognitive Behavioral Therapy CBT
Cognitive Behavioral TherapyCognitive Behavioral Therapy (CBT) focuses on the connections between thoughts, emotions, behaviors, and patterns of responding. We identify patterns that may be contributing to distress and work toward developing more balanced ways of thinking and practical strategies for responding differently.
Dialectical Behavioral Therapy DBT
Dialectical Behavioral TherapyDialectical Behavioral Therapy (DBT) focuses on practical skills for managing intense emotions, tolerating distress, navigating relationships, and responding effectively to challenging situations.
Internal Family Systems IFS
Internal Family SystemsInternal Family Systems (IFS) views our inner experience as made up of different parts, each with its own thoughts, emotions, and ways of responding. Exploring these parts with curiosity can help you better understand internal conflicts, reduce self-criticism, and develop greater awareness and flexibility in how you respond to difficult experiences.
Acceptance and Commitment Therapy ACT
Acceptance and Commitment TherapyAcceptance and Commitment Therapy (ACT) focuses on making room for difficult thoughts and feelings while identifying your core values and taking steps towards the life you want. It emphasizes using those values as inspiration to help guide your decisions.
Mindfulness Training MBSR
Mindfulness TrainingMindfulness Based Stress Reduction (MBSR) involves developing greater awareness of thoughts, emotions, physical sensations, and experiences as they occur. Practicing this awareness can help you recognize patterns and automatic reactions, create space before responding, and develop greater flexibility in how you navigate stress and difficult situations.
Motivational Interviewing MI
Motivational InterviewingMotivational Interviewing (MI) is a collaborative approach that helps people explore their own reasons for change. Rather than telling you what you should do, we look at your values, goals, ambivalence, and what may be getting in the way of your progress.
Narrative Therapy
Narrative TherapyNarrative Therapy explores the stories and beliefs people develop about themselves and their lives. We look at how experiences, relationships, culture, and expectations have shaped those stories, while creating space to recognize strengths, values, and alternative ways of understanding yourself and your experiences.
Positive Psychology
Positive PsychologyPositive Psychology focuses on the factors that contribute to well-being, meaning, engagement, resilience, and a sense of fulfillment. This approach can help identify existing strengths and resources while exploring ways to build more of what is meaningful and satisfying into your life.
Psychodynamic Psychotherapy
Psychodynamic PsychotherapyPsychodynamic approaches explore how earlier experiences, relationships, and patterns of attachment can influence current thoughts, emotions, relationships, and behaviors. Developing greater awareness of these patterns can help you understand recurring difficulties and create opportunities for different ways of responding.

Have you ever wondered what all the treatment approach acronyms mean?

Each acronym is associated with a specific therapeutic modality. They are all lenses that can be used to explain our emotional reality and provide a method of change. Most therapists use a combination of these approaches. I prefer to think of these as roadmaps that we can use to guide our conversations about your life and the changes you are hoping to make.

You will see many similarities between them.

Breathe. Balance. Repeat.

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Sean Endress, LCSW-R provides individualized and inclusive psychotherapy in New York and Florida

Hi there. I’m Sean.

I’ve been practicing psychotherapy for over two decades. After finishing my undergraduate degree at SUNY New Paltz in Psychology and Sociology, I went on to earn two graduate degrees, in Social Work and Sociology. This interdisciplinary path offered me the opportunity to study the ways in which culture and especially societal marginalization can have a negative impact on mental health. I completed my clinical training at the LGBT Community Services Center in New York City, and served as a Senior Clinician at an outpatient mental health clinic in Albany, NY for the next 12 years.

There have been many moments throughout my life when I struggled to meet the norms and expectations of mainstream society. I felt pressured by societal messages about who we should be, how we should act, and what a fulfilling life is supposed to look like. These experiences helped me understand the emotional impact of trying to fit into cultural expectations that never felt truly authentic. I’ve been fortunate to have had supportive teachers and mentors who helped me develop a deeper sense of confidence, acceptance, resilience, and trust in myself. I hope to bring these qualities into the therapy space with you, along with a deep commitment to honesty and authenticity.

Engaging in my own self-care helps me to be fully engaged and present with my clients. Outside of work I enjoy hiking, meditation, kayaking, gardening, photography, music, and hanging out with my partner and cat.

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You don't need to have
it all figured out.

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An initial consultation gives us the opportunity to discuss what brings you to therapy, answer any questions you may have, and see whether working together feels like a good fit.