Lucia Rodriguez-Nelson in warm natural light

Lucia Rodriguez-Nelson, MSW, LMSW · New York

Therapeutic excellence, thoughtfully delivered.

Direct, embodied, effective therapy for adults, teens, and couples across New York State — in person in Manhattan or by secure video. For people who have done the insight work and want something to actually change.

“And now that you don’t have to be perfect, you can be good.”

John Steinbeck, East of Eden

Who I work with

You are not just looking for a place to talk. You are looking for something to change.

You've done a lot of therapy

You can name your patterns fluently and you are still living inside them. You want the hour to go somewhere.

You're recovered on paper

Treatment is behind you and the food noise isn't. You want freedom, not a life spent managing it.

Intimacy feels complicated

Desire, disconnection, mismatch, or shame. Clinical, warm, and not something I'm learning on you.

You perform well and feel awful

Perfectionism, control, anxiety that only shows up in the body, and a pace nobody has ever told you to slow.

Lucia Rodriguez-Nelson, LMSW, in warm natural light

About Lucia

Warm, direct, and unwilling to waste your time.

I'm Lucia Rodriguez-Nelson, MSW, LMSW, with a Columbia MSW in advanced clinical practice and advanced clinical training. I work with adults, teens, and couples across New York.

My work is grounded, honest, and relational. I'll say the true thing kindly, and I'll stay with you while we do something about it.

More about me →

Getting started

What the first weeks actually look like

A warm film photograph from Lucia's practice
  1. Step one

    A free 15-minute consultation

    We talk by video for a few minutes. You tell me what brings you in, I tell you how I work, and we both decide whether it’s a fit. No cost, no pressure.

  2. Step two

    We name what we’re working on

    Early sessions set direction. Not a vague intention to feel better — specific goals we can actually work each week.

  3. Step three

    A twelve-week working structure

    I typically work in a twelve-week structure, with goals worked every session and a check-in on what’s shifting. Telehealth anywhere in New York, or in person in Manhattan.

Warm, direct, and unwilling to waste your time.

Rooted in evidence-based modalities, your psychological insight will be held with accountability, love, and structure to help create sustainable and real behavior change.

Therapy outcomes differ from person to person. Nothing here is a guarantee of specific results, and this website is not a substitute for medical or mental health care.

Book a free consultation