Careful Counseling, Inc.
Group Practice
1330 Beacon Street, 209, Brookline, MA 02446
Let's Connect (857) 412-7967
Accepting in-person appointments: Feeling anxious, overwhelmed, or stuck? You may be navigating a difficult transition, struggling in relationships, or looking for answers about attention, learning, or mood. At Careful Counseling, our team offers personalized therapy, psychological testing, and medication management to help you find a path forward. We take time to understand your story and work with you to set goals that fit your life. Combining evidence-based care with warmth and practical guidance, we help you build skills, gain clarity, and make meaningful changes. You deserve care that helps you feel understood and supported.
Our Team
NOW Accepting New Clients: There is no way to adequately describe the experience of living with depression and anxiety. For the roughly 14% of Americans who suffer from these conditions, everyday activities, such as going to work, speaking in class, even meeting friends for dinner, can become agonizing challenges accompanied by a host of negative physical and emotional symptoms. Perhaps you've noticed your face burning when you speak in public; have felt like an impostor at work and wait to be "found out," or maybe you've experienced a surge of panic (racing-heart, trouble breathing, dizziness, nausea) when you least expected it?
NOW Accepting New Clients: There is no way to adequately describe the experience of living with depression and anxiety. For the roughly 14% of Americans who suffer from these conditions, everyday activities, such as going to work, speaking in class, even meeting friends for dinner, can become agonizing challenges accompanied by a host of negative physical and emotional symptoms. Perhaps you've noticed your face burning when you speak in public; have felt like an impostor at work and wait to be "found out," or maybe you've experienced a surge of panic (racing-heart, trouble breathing, dizziness, nausea) when you least expected it?
Accepting in-person referrals. You may be managing anxiety, ADHD, depression, trauma, relationship concerns, or a major life transition and wondering why insight alone has not created the change you want. I work with adults seeking therapy that is supportive, practical and human, including survivors of trauma and gender-based violence. My style is warm, genuine and collaborative. Therapy can address serious concerns without every moment feeling heavy. We will explore patterns, build skills, strengthen self-trust, and develop healthier ways of relating to yourself and others, with compassion and respect for what has shaped your life.
Accepting in-person referrals. You may be managing anxiety, ADHD, depression, trauma, relationship concerns, or a major life transition and wondering why insight alone has not created the change you want. I work with adults seeking therapy that is supportive, practical and human, including survivors of trauma and gender-based violence. My style is warm, genuine and collaborative. Therapy can address serious concerns without every moment feeling heavy. We will explore patterns, build skills, strengthen self-trust, and develop healthier ways of relating to yourself and others, with compassion and respect for what has shaped your life.
My ideal client is someone who has struggled with the weight of anxiety or depression and is now ready to work toward meaningful change. They may feel overwhelmed by racing thoughts, cycles of self-doubt, or patterns of avoidance and are looking for a structured and compassionate space where their experiences are validated without judgment. What they want is relief from distress, practical skills to manage emotions, and a clearer path forward. They value insight, tools, and structure and are ready to actively participate in building healthier ways of thinking, feeling, and behaving.
My ideal client is someone who has struggled with the weight of anxiety or depression and is now ready to work toward meaningful change. They may feel overwhelmed by racing thoughts, cycles of self-doubt, or patterns of avoidance and are looking for a structured and compassionate space where their experiences are validated without judgment. What they want is relief from distress, practical skills to manage emotions, and a clearer path forward. They value insight, tools, and structure and are ready to actively participate in building healthier ways of thinking, feeling, and behaving.
Accepting In-Person Referrals: Many of the people I work with are adults navigating anxiety, depression, trauma, or intense emotional experiences that feel hard to manage alone. Often they’re insightful and motivated, yet still feel stuck in patterns that affect their mood, relationships, or sense of control. They’re looking for more than validation and want a clear, skill-based approach that makes sense of what’s happening and leads to meaningful change. The goal is not just short-term relief, but emotional steadiness, healthier relationships, and practical strategies that hold up and can be practiced outside the therapy room.
Accepting In-Person Referrals: Many of the people I work with are adults navigating anxiety, depression, trauma, or intense emotional experiences that feel hard to manage alone. Often they’re insightful and motivated, yet still feel stuck in patterns that affect their mood, relationships, or sense of control. They’re looking for more than validation and want a clear, skill-based approach that makes sense of what’s happening and leads to meaningful change. The goal is not just short-term relief, but emotional steadiness, healthier relationships, and practical strategies that hold up and can be practiced outside the therapy room.
NOW Accepting New Clients: I'm Dr. Ryan Gazzola, a dedicated Cognitive Behavioral Therapy clinician with passion for empowering individuals facing challenges with depression, anxiety, family issues, and unresolved anger. With a decade of specialized training and practical experience, I'm committed to providing evidence-based strategies tailored to meet the needs of each person with whom I work. My approach focuses on fostering resilience, promoting coping strategies, and facilitating change through collaborative and compassionate therapy. I believe in the transformative power of CBT and am invested in guiding clients towards health.
NOW Accepting New Clients: I'm Dr. Ryan Gazzola, a dedicated Cognitive Behavioral Therapy clinician with passion for empowering individuals facing challenges with depression, anxiety, family issues, and unresolved anger. With a decade of specialized training and practical experience, I'm committed to providing evidence-based strategies tailored to meet the needs of each person with whom I work. My approach focuses on fostering resilience, promoting coping strategies, and facilitating change through collaborative and compassionate therapy. I believe in the transformative power of CBT and am invested in guiding clients towards health.
Life doesn’t come with an instruction manual, and most of us wouldn’t read it cover to cover anyway. My clients are often smart, capable people who find themselves stuck in cycles of worry, low mood, or old patterns from past trauma. They want tools that actually work, not just talk, and that’s where cognitive behavioral therapy comes in. Together we’ll get curious about how your thoughts, emotions, and behaviors connect, and practice strategies to loosen anxiety’s grip, lift mood, and build resilience. My goal is to help you leave each session with something you can use in real life, not just the therapy room.
Life doesn’t come with an instruction manual, and most of us wouldn’t read it cover to cover anyway. My clients are often smart, capable people who find themselves stuck in cycles of worry, low mood, or old patterns from past trauma. They want tools that actually work, not just talk, and that’s where cognitive behavioral therapy comes in. Together we’ll get curious about how your thoughts, emotions, and behaviors connect, and practice strategies to loosen anxiety’s grip, lift mood, and build resilience. My goal is to help you leave each session with something you can use in real life, not just the therapy room.
You may be experiencing anxiety, stress, or depression that makes it difficult to stay present, manage relationships, or adapt to important life or career transitions. Many clients describe feeling trapped in cycles of overthinking, weighed down by “what ifs,” or struggling to meet constant demands. Using CBT, I help clients identify and challenge unhelpful thoughts, understand the link between emotions and behavior, and practice strategies that reduce distress and restore a sense of control. Our work focuses on breaking entrenched patterns, strengthening resilience and clarifying goals, so you can move forward with greater balance.
You may be experiencing anxiety, stress, or depression that makes it difficult to stay present, manage relationships, or adapt to important life or career transitions. Many clients describe feeling trapped in cycles of overthinking, weighed down by “what ifs,” or struggling to meet constant demands. Using CBT, I help clients identify and challenge unhelpful thoughts, understand the link between emotions and behavior, and practice strategies that reduce distress and restore a sense of control. Our work focuses on breaking entrenched patterns, strengthening resilience and clarifying goals, so you can move forward with greater balance.
Accepting new referrals: My ideal client is an adult navigating anxiety, mood instability, or persistent self-doubt who is ready for structured, skills-based work. I specialize in CBT and DBT-informed treatment, helping clients identify unhelpful thought patterns, regulate emotions, and build practical coping strategies. Together, we examine the connection between thoughts, emotions, and behaviors, practice skills between sessions, and track meaningful progress. I believe that clients want more than insight; they want tools they can use in real time to feel steadier, more confident, and better equipped to manage a full life.
Accepting new referrals: My ideal client is an adult navigating anxiety, mood instability, or persistent self-doubt who is ready for structured, skills-based work. I specialize in CBT and DBT-informed treatment, helping clients identify unhelpful thought patterns, regulate emotions, and build practical coping strategies. Together, we examine the connection between thoughts, emotions, and behaviors, practice skills between sessions, and track meaningful progress. I believe that clients want more than insight; they want tools they can use in real time to feel steadier, more confident, and better equipped to manage a full life.
Available In-Person: You may be carrying a lot while feeling pressure to keep it together. I work with adults facing anxiety, depression, trauma, intense emotions, relationship difficulties, and major life transitions. I don’t believe therapy should feel like being analyzed from across the room. My style is warm, direct, and collaborative. Drawing from CBT, DBT, and ACT, I’ll help you understand what keeps you stuck, develop practical coping skills, improve your relationships, and create meaningful change. I also bring specialized training in African and Caribbean mental health and warmly welcome clients of every cultural background
Available In-Person: You may be carrying a lot while feeling pressure to keep it together. I work with adults facing anxiety, depression, trauma, intense emotions, relationship difficulties, and major life transitions. I don’t believe therapy should feel like being analyzed from across the room. My style is warm, direct, and collaborative. Drawing from CBT, DBT, and ACT, I’ll help you understand what keeps you stuck, develop practical coping skills, improve your relationships, and create meaningful change. I also bring specialized training in African and Caribbean mental health and warmly welcome clients of every cultural background
Accepting in-person referrals: This is a space created entirely for you - one where you can be fully yourself without judgment. Whether life has brought you sadness, intrusive worry, physical panic, relationship challenges, or unexpected changes, our time together is focused on helping you grow, strengthen your coping skills, and discover new ways of understanding and moving through your experiences. Using an integrative approach, I draw from Cognitive-Behavioral Therapy (CBT), narrative, relational, and interpersonal approaches, tailoring our work to your needs at a pace that feels sustainable and always collaborative.
Accepting in-person referrals: This is a space created entirely for you - one where you can be fully yourself without judgment. Whether life has brought you sadness, intrusive worry, physical panic, relationship challenges, or unexpected changes, our time together is focused on helping you grow, strengthen your coping skills, and discover new ways of understanding and moving through your experiences. Using an integrative approach, I draw from Cognitive-Behavioral Therapy (CBT), narrative, relational, and interpersonal approaches, tailoring our work to your needs at a pace that feels sustainable and always collaborative.
My ideal client is someone navigating anxiety, depression, or trauma who feels overwhelmed, stuck, or disconnected and is ready to make a change. They may be coping with self-doubt, constant worry, or the lingering effects of painful experiences. They’re looking for a therapist who is warm, collaborative, and grounded - someone who offers empathy, structure, and practical tools that make a real difference. In our work together, I use CBT to help clients understand what’s keeping them stuck, develop healthier patterns, and build a greater sense of calm, confidence, and emotional balance in their daily lives and relationships.
My ideal client is someone navigating anxiety, depression, or trauma who feels overwhelmed, stuck, or disconnected and is ready to make a change. They may be coping with self-doubt, constant worry, or the lingering effects of painful experiences. They’re looking for a therapist who is warm, collaborative, and grounded - someone who offers empathy, structure, and practical tools that make a real difference. In our work together, I use CBT to help clients understand what’s keeping them stuck, develop healthier patterns, and build a greater sense of calm, confidence, and emotional balance in their daily lives and relationships.
Accepting In-Person referrals: I offer depth-oriented psychotherapy for individuals and couples grounded in a relational psychodynamic approach. I believe that meaningful change happens through a thoughtful, collaborative therapeutic relationship that allows space to explore patterns of attachment, emotional experience, and the ways early relationships shape how we see ourselves and others. I have experience working with adults and adolescents presenting with anxiety, depression, trauma-related concerns, obsessive-compulsive symptoms, and relational difficulties. I provide affirming, relationally grounded care for LGBTQ+ individuals
Accepting In-Person referrals: I offer depth-oriented psychotherapy for individuals and couples grounded in a relational psychodynamic approach. I believe that meaningful change happens through a thoughtful, collaborative therapeutic relationship that allows space to explore patterns of attachment, emotional experience, and the ways early relationships shape how we see ourselves and others. I have experience working with adults and adolescents presenting with anxiety, depression, trauma-related concerns, obsessive-compulsive symptoms, and relational difficulties. I provide affirming, relationally grounded care for LGBTQ+ individuals
Accepting in-person referrals: I work with adults who want to feel better but aren't always sure where to start. Many have reached a point where what they've been doing simply isn't working anymore. They may be feeling anxious, overwhelmed, struggling to focus, noticing changes in their mood, or wondering whether medication could help. I don't believe in rushing to a diagnosis or prescription. We'll take the time to understand what's been happening, explore your options together, and develop a treatment plan that helps you move forward with greater confidence. My goal is for you to leave each appointment feeling heard and informed.
Accepting in-person referrals: I work with adults who want to feel better but aren't always sure where to start. Many have reached a point where what they've been doing simply isn't working anymore. They may be feeling anxious, overwhelmed, struggling to focus, noticing changes in their mood, or wondering whether medication could help. I don't believe in rushing to a diagnosis or prescription. We'll take the time to understand what's been happening, explore your options together, and develop a treatment plan that helps you move forward with greater confidence. My goal is for you to leave each appointment feeling heard and informed.
I specialize in working with older adults navigating the emotional, cognitive, medical, and relational changes that can accompany aging. Clients may be coping with anxiety, depression, grief, chronic illness or pain, memory concerns, loss of independence, retirement, or other major life transitions. My specialized training includes doctorates in clinical psychology and applied gerontology, as well as a postdoctoral fellowship in clinical geropsychology. I use collaborative, evidence-based therapy to strengthen coping, resilience, connection, and a sense of meaning. Treatment is tailored to each client’s unique goals and strengths.
I specialize in working with older adults navigating the emotional, cognitive, medical, and relational changes that can accompany aging. Clients may be coping with anxiety, depression, grief, chronic illness or pain, memory concerns, loss of independence, retirement, or other major life transitions. My specialized training includes doctorates in clinical psychology and applied gerontology, as well as a postdoctoral fellowship in clinical geropsychology. I use collaborative, evidence-based therapy to strengthen coping, resilience, connection, and a sense of meaning. Treatment is tailored to each client’s unique goals and strengths.
Accepting New Clients: My ideal clients are adolescents, young adults, and adults who feel overwhelmed by anxiety, depression, trauma, ADHD, relationship concerns, school or work stress, or major life transitions. I especially welcome Spanish-speaking and bilingual clients, people from underrepresented communities, and those who want therapy to reflect their culture, identities, interests, and strengths. Together, we clarify what is keeping you stuck, develop practical skills, and build a treatment plan that supports meaningful change. When helpful, we can integrate gaming, fandom, or other aspects of geek culture into the work.
Accepting New Clients: My ideal clients are adolescents, young adults, and adults who feel overwhelmed by anxiety, depression, trauma, ADHD, relationship concerns, school or work stress, or major life transitions. I especially welcome Spanish-speaking and bilingual clients, people from underrepresented communities, and those who want therapy to reflect their culture, identities, interests, and strengths. Together, we clarify what is keeping you stuck, develop practical skills, and build a treatment plan that supports meaningful change. When helpful, we can integrate gaming, fandom, or other aspects of geek culture into the work.
Location
Primary Location
Careful Counseling
1330 Beacon Street
209
Brookline, MA 02446
(857) 412-7967Email Us