
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.
Specialties
What I work with
The areas I focus on most. Each one has its own page, so you can read how I actually work with it before you reach out.
“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.
Working together
Ways to work with me
Every fit starts the same way — a free call, no cost and nothing to prepare. From there, we choose the format that fits your life.

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.
Getting started
What the first weeks actually look like

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.
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.
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.
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