Identity in Disruption

Artificial Intelligence

Knowledge, Consent, and the Illusion of Choice

Laura Federico, LCSW, CST on June 10, 2026

We all have the right and the power to decide what we want our lives and relationships to look like, but we need more information in order to make those choices knowingly.

We all have the right and the power to decide what we want our lives and relationships to look like, but we need more information in order to make those choices knowingly.

Pregnancy

Pregnant? What Your Therapist Should Be Asking

Laura Federico, LCSW, CST on December 11, 2025

I began noticing a pattern: Clients who were six to 12 months postpartum were coming into session describing unexpected shifts in mood and anxiety.

I began noticing a pattern: Clients who were six to 12 months postpartum were coming into session describing unexpected shifts in mood and anxiety.

Artificial Intelligence

AI Attachment: Are We the Experiment?

Laura Federico, LCSW, CST on September 19, 2025

We’re all wired for connection, and we’re driven to find meaning. These aren’t flaws, they are essential survival traits.

We’re all wired for connection, and we’re driven to find meaning. These aren’t flaws, they are essential survival traits.

Sex

What Partners Really Think About Scheduling Sex

Laura Federico, LCSW, CST on July 18, 2025

"After it's over, we always say, 'It's always a good idea.'"

"After it's over, we always say, 'It's always a good idea.'"

Trauma

The Heartbreak of Institutional Betrayal

Laura Federico, LCSW, CST on June 14, 2025

In my practice, I'm witnessing a bipartisan heartbreak. I see confusion and deep questioning of some existing systems while watching the real-time dismantling of others.

In my practice, I'm witnessing a bipartisan heartbreak. I see confusion and deep questioning of some existing systems while watching the real-time dismantling of others.

Hormones

I'm a Sex Therapist and This Is Why I Care About Period Apps

Laura Federico, LCSW, CST on April 21, 2025

We can't provide comprehensive mental health care without understanding hormones. The way millions of people currently understand hormones is deeply flawed. It's time to go analog.

We can't provide comprehensive mental health care without understanding hormones. The way millions of people currently understand hormones is deeply flawed. It's time to go analog.

Therapy

Why Your Therapist Should Be Asking You About Your Period

Laura Federico, LCSW, CST on June 27, 2024

Why didn't anybody tell me this? The important reasons why you and your therapist should understand your menstrual cycle.

Why didn't anybody tell me this? The important reasons why you and your therapist should understand your menstrual cycle.

Sex

Suffering in Silence? Time to Get Loud About Pain During Sex

Laura Federico, LCSW, CST on June 4, 2024

When our pain is dismissed by those around us, we might learn to dismiss it ourselves. Without the space to tell others how we feel, we can lose our voice.

When our pain is dismissed by those around us, we might learn to dismiss it ourselves. Without the space to tell others how we feel, we can lose our voice.

Infertility

Infertility and Sex

Laura Federico, LCSW, CST on January 6, 2021

Have you experienced infertility? You are not alone. This is how to bring back pleasure.

Have you experienced infertility? You are not alone. This is how to bring back pleasure.

Defense Mechanisms

Is Comparison Actually a Form of Avoidance?

Laura Federico, LCSW, CST on August 25, 2020

How much time are you spending thinking about what other people have that you want? 8 steps to confront the avoidance in comparison.

How much time are you spending thinking about what other people have that you want? 8 steps to confront the avoidance in comparison.

Stress

Who Invited Your Stress Response to Dinner?

Laura Federico, LCSW, CST on April 24, 2020

Has effective communication felt more challenging during COVID-19? Here are a few ways we can compassionately help change that.

Has effective communication felt more challenging during COVID-19? Here are a few ways we can compassionately help change that.

Coronavirus Disease 2019

Therapeutic Alliance Over FaceTime

Laura Federico, LCSW, CST on April 20, 2020

Stressed about your new online practice? These practical clinical tips can help.

Stressed about your new online practice? These practical clinical tips can help.

Coronavirus Disease 2019

Life Has Changed. Why Shouldn't Therapy?

Laura Federico, LCSW, CST on April 14, 2020

Coronavirus has dramatically altered our way of life. The way we approach therapy has to follow.

Coronavirus has dramatically altered our way of life. The way we approach therapy has to follow.