Christina Macnamara

Christina Macnamara is a licensed clinical social worker with nearly three decades of experience helping people navigate major life changes. She meets adults who feel overwhelmed by grief, illness, relationship strain, parenting stress, or the fallout from trauma. Christina writes plainly and listens closely to understand where someone is starting from. Her work is client-centered and solution-focused. She uses cognitive behavioral techniques and ideas from Acceptance and Commitment Therapy to help people notice patterns, make values-based choices, and take small, manageable steps forward. Sessions are practical and aimed at improving day-to-day coping. Christina treats a wide range of concerns including anxiety, depression, grief, compassion fatigue, and stress related to caregiving or chronic illness. She also supports people dealing with abandonment, attachment questions, blended family dynamics, and issues around adoption and foster care. She frames therapy as a partnership. Together with a client she sets clear, realistic goals and tracks progress one step at a time. Conversations focus on skills that can be put into use between sessions so change can be felt in daily life. Working in Florida as an LCSW, Christina brings long experience and a steady presence to difficult moments, including end-of-life and hospice related concerns. She invites people to start by describing what feels most pressing and then builds a plan that fits their life.

How Christina’s Approaches Translate to Online Work

Acceptance and Commitment Therapy (ACT) helps people get clearer about what matters to them and take small steps that align with those values. It is useful for coping with grief, chronic illness, and major life transitions. Cognitive Behavioral Therapy, or CBT, looks at thought patterns and behaviors and teaches practical skills to reduce anxiety and lift mood. It can be helpful for depression, stress, and day-to-day coping. Finding the right approach is part of the process. Christina works collaboratively to see which methods match a person's goals, needs, and preferences. She adjusts techniques over time so sessions stay focused on measurable progress and what feels useful in real life. Confirm the current online session options before booking, as formats are not specified here. Online work can make it easier to fit therapy into a busy schedule, reduce travel time, and allow shorter check-ins when needed. It also makes follow-up conversations and steady support more practical during prolonged caregiving, medical treatment, or end-of-life planning. Licensed professionals, including Christina, can adapt exercises and homework for remote sessions so people can practice skills between meetings and track small changes in daily life.