Sylwia Wielgosz, LMHC

Sylwia Wielgosz is a licensed mental health counselor (LMHC) practicing in New York with 14 years of experience. Sylwia specializes in sexual and relationship concerns alongside addictions, ADHD, and LGBT-related issues. They work with people to build clear goals and practical steps toward better day-to-day functioning.

Sylwia has a background supporting people recovering from complex trauma and from experiences tied to social and spiritual oppression. They also have experience with kink, polyamory, and other subcultures and incorporate that understanding into conversations about intimacy and consent. Sessions focus on what matters most to the client and on measurable progress.

In session Sylwia uses a mix of evidence-informed approaches, including Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Attachment-Based methods, and Dialectical Behavior Therapy. The emphasis is on teaching skills, offering psychoeducation, and creating a personalized plan clients can use outside of sessions. Sylwia frames each plan around the client’s goals and values.

Therapy aims to improve relationships, self-soothing, communication, and accountability. Sylwia helps clients practice new skills and test small changes between sessions. The work is collaborative, with regular review of goals and adjustments as needed.

People who prefer straightforward, skills-based work that also acknowledges social and cultural context may find this approach helpful. For specific session formats and scheduling details, confirm current options before booking.

Approaches that guide online therapy

Acceptance and Commitment Therapy, or ACT, helps people notice unhelpful thoughts and still act in line with their values. It can be useful for relationship struggles, sexual concerns, and motivation problems. Cognitive Behavioral Therapy, or CBT, focuses on identifying patterns of thought and behavior that keep problems going and then testing new ways of thinking and acting. This approach often helps with anxiety, mood, and practical relationship skills.

Finding the right approach is part of the work. The therapist will talk with each person about their goals, preferences, and what has or hasn't helped before. Together they decide which methods to try and adjust the plan over time as progress and needs change.

Session formats should be confirmed before booking because current options may vary. Online therapy can make it easier to fit sessions into busy days, allow shorter check-ins when needed, and reduce travel time. It also lets people pick setups that suit them, such as a video conversation or a brief text check-in if those options are available. Licensed professionals can adapt the methods above for remote work so skill building and goal tracking continue between sessions.