Circular logo for Boutique Therapy featuring pastel horizontal stripes in pink, white, peach, gold, green, and blue, with the text 'Alicia Italiano, LCSW' in the center.

Alicia’s Vision & Vibe

I believe in doing therapy differently. As a boutique practice on Long Island and virtually across NY, we provide intimate, unfiltered support for Millennials and Gen Z who are over the "traditional" clinical vibe. Whether you work with me or one of my hand-selected therapists, we’ll match you with someone who doesn’t just "specialize" in your struggle, but actually gets it. We help teens and adults in East Setauket and online across New York stop performing and start living.

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You’re ready for a new approach to therapy. After a decade in the field, I’ve learned that the best work happens when we skip the clinical filter. This is high-level strategy met with a genuine, human connection. Consider this your "low-stakes rehearsal space." We use sessions to test-drive new ways of being before you take them into the real world...

You’ll leave with a tangible blueprint to set boundaries without the guilt—no performance required... We don’t just talk about your history; we deconstruct the cycle. We map the inherited "blueprint" of old rules and roles that drive your automatic reactions. Once we see the map, you get the power to pause the loop and choose a healthier future.

Past pain shouldn't dictate your success. It’s time to feel safe in your skin.We work at your pace to process trauma without the overwhelm. The goal is to get you grounded, present, and actually at home in your own body.

Quiet the noise. For the perfectionism and mental chatter, we get tactical.

We use actionable skills to manage chronic overthinking and shift looping thought patterns.

We clear the mental fog so you can finally focus on what actually matters.

Meet the Founder, Alicia.

A woman with long brown hair, wearing a floral dress, smiling and walking outdoors on a grassy area near a wooden fence with green trees and sunlight in the background.

Alicia Italiano, LCSW | Owner + Founder

It’s time to experience boutique therapy created for your real life.

I’ve always been the one people turned to—the classic "parentified child" who learned way too early how to take care of everyone else. It’s basically why I became a therapist (LOL). But it’s also why I’m so protective of the vibe here. I’m not interested in running a big, cold agency; I built a boutique practice because I believe therapy works best when it actually feels human.

My path here was personal. I’ve walked through my own chapters of trauma, grief, and loss. I know what that "stuck" feeling is like, and as a Millennial therapist who has been on the other side of the couch, I’m not just repeating theory from a classroom. I have a decade of clinical experience, a Master’s from Stony Brook, and the license to back up the work we do, but I still show up as a real person. I’m a firm believer that the relationship we build is the most important factor in your healing. This is your "safe rehearsal"—the place where you practice being unfiltered and unmuted so you can eventually take that same confidence back into your real life.

I chose to put my office inside Revival Strength & Recovery because the environment you’re in matters. For you to feel comfortable enough to do the hard work, the space needs to feel good. I wanted to move away from the sterile, "patient-in-a-waiting-room" atmosphere and create something that felt like a community. On Long Island, the isolation is real, and I wanted to build a bridge out of that—creating a place you actually look forward to visiting.

Eventually, the need for this kind of therapy was bigger than just me. I expanded to a small team of specialists who truly understand the Millennial and Gen Z experience so we could support more people. I trust every therapist here to provide the same high-level, intimate care I’ve built this practice on. We’re here to give you the actual tools and accountability you need to stop performing for everyone else and finally start living for yourself.

more about alicia
meet our team
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A woman in a blue maxi dress smiling on a sandy beach with rocks and greenery in the background.
A woman in a blue dress smiling and walking barefoot on a sandy beach with rocks and a body of water in the background during sunset.

I’m a lifelong

Long Islander

Born and raised here—and now raising my own family in the same place—I deeply understand the rhythm of this community: the pace, the pressure, and that constant pull to keep everything together. This local connection shapes my practice.

I show up with presence and compassion, grounded in the belief that therapy should feel human, honest, and real, not stiff or cold.

I get the Long Island way of life because I live it, too. Beyond the therapy room, my life here keeps me grounded:

  • I'm definitely not a morning person; my day starts with a much-needed cup of Earl Grey.

  • I spend time with my family—my high school sweetheart and our two daughters. Creating traditions with my girls is my absolute favorite part of being a parent.

  • I’ve played beach volleyball for over a decade at Robert Moses (shout-out to The Volley Llamas!).

  • As a Capricorn who loves a good plan (or at least the illusion of one!), I always check the menu and parking before trying a new restaurant.

  • My favorite place to catch a sunset is the beach, especially down Port or at West Meadow.

  • I use home renovations and DIY house projects as my creative outlet.

  • I'm a Millennial, so you already know I send way too many texts, LOLs, and GIFs—no shame!

Whether you’re navigating major life changes, feeling stuck, overwhelmed, or just trying to make sense of what’s next, I’m here to support you with both heart and skill.

Meet the team

  • A woman with long brown hair, smiling, wearing a blue top and a silver necklace, standing outdoors with greenery and a wooden fence in the background.

    Alicia Italiano, LCSW

    Owner + Founder | Therapist

  • Jamie Edwards, LCSW-R

    Therapist

Our core values

01
Honesty

We promise genuine transparency. Bring your unfiltered truth—no matter how messy. When we're honest, we move past surface issues to real, lasting change.

02
compassion

Zero judgment here. We truly understand the pressure of holding it all together. You get a compassionate guide who meets you exactly where you are and believes in your capacity to heal.

03
safety

Emotional safety is the non-negotiable foundation. This is a reliable, predictable space where you can finally drop the performance mask and explore difficult truths without the fear of criticism.

the therapeutic experience
faqs
Modern living room with gray sofa, wooden coffee tables, patterned pouf, and green potted plants, decorated with framed artwork on the wall.
A woman with long, dark brown hair wearing a sleeveless navy blue dress with yellow and white floral patterns, smiling against a light purple background.

a note from me to you:

If this feels like a lot, that’s perfectly understandable. (You’ve got enough on your  plate just navigating the week).

Taking this step toward therapy is incredibly brave. No need to know exactly what to say. We’ll navigate this together, gently and honestly. You’ll leave feeling significantly  lighter, more deeply resourced, and more profoundly  connected to your authentic self.

Let’s take the next step—because your well-being isn't another item on your to-do list; it's the foundation for everything else in your life.  Rooted in care, clarity, and enduring calm.

From a therapist who’s been in your shoes.

Alicia

im ready when you are

Long Island Based. NY Accessible. We’ll meet you where you are—literally.

Map of Long Island, New York, showing regions with in person and virtual counseling locations, including East Setauket, Port Jefferson, Greenport, Montauk, and others.

My boutique practice serves those on Long Island in our East Setauket office and online across NY. My office is strategically located inside the Revival Strength & Recovery Wellness Center and next to Outlift Athletics —connecting your therapy to a total wellness environment. Click here to get started!

Live Local? Visit us in-person at our East Setauket office!

East Setauket, NY 11733

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13 Technology Drive,

visit the office

Your well-being is just as important as your to-do list.

Schedule a free consult

kind words from real clients

  • "She just gets it."

    "My marriage was strained, and dealing with my parents felt impossible. Alicia provided that safe place to figure out my truth, and more importantly, how to actually say it without causing a blow-up. We worked through old conflicts, and now my relationship with my spouse is stronger, and I know how to navigate my family without completely draining myself."

  • "Becoming a mom totally wiped me out. Finding Alicia was a game-changer."

    "As a new mom, I was completely lost and just constantly over-giving. Alicia helped me realize that setting boundaries is necessary, not selfish. We worked through what I really wanted for myself now. I finally feel like I'm taking care of myself and my family not just sacrificing everything. I feel like me again."

  • "I finally figured out why I can't set boundaries."

    "I literally couldn't say no. Alicia didn’t just give me advice; she helped me connect the dots back to my family and understand why I'm always stressing about pleasing people. We practiced the hard conversations, which was a lifesaver. Because of her, I finally broke a toxic cycle that was draining me."

  • "The pressure from school and the demands on my time were making me miserable. Alicia was exactly what I needed. "

    “She gave me real, practical tools for managing stress and stopped the spiral of perfectionism that was keeping me stuck. It's not just talking; it's strategic help that I use every day to stay focused without the panic. "

  • "Alicia helped me figure out who I am again, and now I actually look forward to coming every week. "

    "Therapy with Alicia is literally the best part of my week. I used to dread the idea of going, but she's so real and authentic. The consistent scheduling makes it easy to stick with, and the time flies. I couldn't be happier."

  • "Therapy helped save a lot of future fights with my husband and family, thanks to Alicia."

    "My marriage was strained, and dealing with my family felt impossible. Alicia gave me the space to figure out my truth, and more importantly, the actual skills to say it without huge drama. Now my relationship with my spouse is stronger, and I know how to navigate my family without completely draining myself."

  • "I experienced a loss that wasn't typical, and I honestly wasn't sure if anyone could relate or even understand me. Then I was connected to Alicia. "

    “She totally understands that grief comes in all different shapes and sizes. Slowly, I’m learning that grief and joy can actually coexist, which is huge. Plus, she can handle my dark humor, which is major brownie points. I’m finding a path forward, and I’m so grateful."

Schedule a consult

Schedule a consult