Kristina MacDonald, LMHC

Kristina MacDonald is a Licensed Mental Health Counselor (LMHC) based in New York with eight years of clinical experience. She works with adults who are worn down by stress, snap at loved ones, or carry simmering resentment. Her practice lists anger alongside issues such as anxiety, depression, relationship strain, ADHD, and grief.

Kristina describes common starting points as feeling overwhelmed, disconnected, or emotionally exhausted despite looking fine on the outside. She helps people name what’s happening and figure out small changes that improve day-to-day functioning. Conversations are straightforward and focused on concrete steps rather than jargon.

Her approach draws from Acceptance and Commitment Therapy and Cognitive Behavioral Therapy, with practical mindfulness and motivational interviewing techniques mixed in. That means sessions may include noticing patterns of thought and behavior, building skills to respond differently, and clarifying values to guide action.

She also uses client-centered methods to keep sessions grounded in each person’s goals. That can look like pacing work to fit a client’s readiness and emphasizing what matters most to them. For relationship concerns she works with individuals on communication and boundaries rather than running couples therapy formats unless otherwise agreed.

Kristina notes experience helping with culturally influenced concerns, including challenges that arise across different family backgrounds and identity issues. If someone is unsure whether her approach fits, she recommends an initial conversation to review goals and next steps.

Approaches used online and what to expect