mindy mastruserio, ms, ncc, lpc

I am a licensed psychotherapist with nearly two decades of clinical experience working across the spectrum of mental health care. My background includes work in community-based settings, higher-acuity treatment environments, and private practice, which has shaped a broad and grounded understanding of how psychological distress can present across contexts and levels of severity.

My clinical work is informed by advanced training in trauma treatment, including completion of the Certified Clinical Trauma Professional (CCTP-II) program, as well as ongoing education focused on complex, chronic, and medically layered presentations. Over time, this experience has reinforced the importance of careful assessment, pacing, and discernment, particularly when symptoms are longstanding, overlapping, or resistant to simple explanations.

This foundation allows me to work thoughtfully with individuals whose experiences do not fit neatly into standard categories, and to remain steady in the presence of uncertainty, intensity, or prolonged distress.

My clinical approach is grounded in the understanding that emotional distress does not occur in isolation. Psychological suffering is often shaped by prolonged stress, physical strain, nervous system dysregulation, and environments that overwhelm an individual’s capacity to cope. When these factors intersect, symptoms can become confusing, persistent, or resistant to standard interventions.

I specialize in presentations involving chronic illness, neuroimmune stress, medical uncertainty, and fluctuating cognitive or emotional capacity. This includes working with individuals whose experiences have been difficult to name, or who have felt pressured to make sense of themselves within frameworks that do not fully capture what they are living with.

My work is informed by focused clinical training, ongoing education, and deep familiarity with the lived realities of navigating prolonged disruption and uncertainty. Rather than reducing distress to a single cause or diagnosis, I aim to hold the full picture, respecting both psychological processes and the limits imposed by the body and nervous system.

Therapy is approached with discernment and flexibility, adapting to what is realistically available in each phase of a person’s life. I do not rush insight or push coherence before it is ready. Instead, the work unfolds at a pace that supports safety, integration, and long-term stability.