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A. Lukianov LCSW, PLLC
302 5th Avenue
New York, NY, 10001
929-399-4312
WHAT WE OFFER
Services
Therapy that treats mind and body together. We work with individuals and couples, in person in New York City and online across New York State
Trauma & PTSD
Trauma extends beyond memory, often remaining in the body and nervous system long after the threat has passed. We integrate Somatic Experiencing, EMDR, and evidence-based approaches to help clients process trauma at a pace that feels safe and manageable. For complex trauma, including chronic abuse, prolonged neglect, and cPTSD, our clinicians offer specialized, trauma-informed care tailored to each client’s needs.
Our work supports lasting relief from PTSD and the many symptoms that it encompasses. Whether it be anxiety, depression, night terrors, flashbacks or various forms of dissociation, we are dedicated to fostering internal resilience. Equally important, we help clients rebuild self-worth, cultivate self-compassion, and restore a deeper sense of safety within themselves and the world around them.
Anxiety & Overwhelm
When anxiety begins to shape both mind and body, we help clients understand its underlying drivers, what occurs in our body when anxiety is present, and the self-awareness to break the deep-rooted cycles that sustain it. Integrating CBT, mindfulness, and somatic approaches, we address both the mental and physical dimensions of anxiety to bring the the nervous system back to regulation and to restore a sense of peace.
Our approach goes beyond symptom management, foster lasting change. Clients develop the capacity to navigate uncertainty, to quiet the mental noise, and to move through daily life with greater ease and confidence—equipped with tools and knowledge that extend well beyond the therapy room.
Addiction & Recovery
Addiction is rarely just about the substance or behavior; it often reflects deeper patterns, unmet needs, and underlying pain. We provide compassionate, nonjudgmental, trauma-informed care for substance and behavioral addictions, integrating evidence-based practices to address root causes and to support meaningful, sustainable change. Our team is well-versed in supporting clients with co-occurring conditions where addiction exists alongside other mental health challenges. With stabilization and symptom management comes an opportunity to address underlying trauma as part of a comprehensive approach to recovery.
For clients seeking additional accountability between sessions, we incorporate supportive and non-punitive tools such as Soberlink for those seeking to regain trust in themselves and their loved ones. Our focus is on lasting recovery—rooted in understanding and client-focused treatment approaches.
Sex & Relationships
Sexuality, desire, and relationships deserve informed, affirming care free from stigma. We provide nonjudgmental support across diverse sexual and relational experiences, including ENM, CNM, kink-aware, and sex-positive communities. Our clinicians bring a nuanced understanding of relational dynamics, allowing clients to focus on meaningful exploration rather than explaining their experiences.
Whether navigating intimacy, desire, past experiences, or relationship structures, we offer a space for honest, open reflection. Our sex positive relational work empowers clients to cultivate a more confident, integrated relationship with their loved ones while navigating their specific needs, boundaries, and lived experiences.
Identity & Gender
Every client deserves care grounded in respect, understanding, and genuine affirmation. We provide specialized, gender-affirming care for trans, non-binary, and gender-expansive clients navigating identity exploration, transition, and related medical or legal processes, including care coordination, letters, and referrals.
Our approach recognizes the individual and systemic impacts of stigma, creating a therapeutic environment where clients feel understood and affirmed without needing to justify their identity. This foundation of psychological safety supports meaningful clinical work, fostering self-trust, resilience, and authentic self-expression.
Grief & Loss
Loss and transition take many forms, from bereavement and relationship endings to diagnoses, major life changes, and unexpected endings. Recognizing that grief is deeply personal and unfolds without a fixed timeline, we offer compassionate, grounding support that honors each client’s experience without pressure to move through stages of grief prematurely or in a linear manner.
Through relational, trauma-informed, and creative approaches, we help clients process loss, integrate its impact, and navigate what comes next. Our work supports the capacity to hold grief alongside renewed meaning and the possibility of moving forward.