mind by design


Expert Therapy in New Jersey

Marilyn Defalco, LCSW

Therapy for Teens & Adults struggling with
Depression, Trauma & More

If you’re searching for therapy in New Jersey that will suport your efforts to reclaim your happiness and find purpose, value and meaning in your life, we encourage you to learn about how Marilyn can help you!

Marilyn specializes in providing therapy for depression, trauma, anxiety and LGBTQ+ needs. Teens and Adults can find compassion, empowerment and support with our online therapy in New Jersey.

therapy in New Jersey therapy for depression therapy for trauma therapy for teens Marilyn DeFalco

Find Relief From Depression
with online therapy in New Jersey Today

Marilyn’s goal is to create a comfortable and motivating space that helps teens and adults grow. Using effective therapy for depression, clients begin to experience the relief of symptoms and start to have a healthy, more fulfilling  life again. Our experienced therapists provide individualized, client-centered care.  Ease the burden of stress and burnout with support from our providers in New Jersey.

Feel confident knowing that Our Therapists are licensed to provide Therapy in New Jersey

Adolescent Mental Health Advocate

Professional Trauma Educator

Marilyn not only provides individual therapy for teens, she also is a fierce advocate for teen mental health and LGBTQ+ rights,

Marilyn educates and trains other professionals on therapy for trauma-related issues.  Marilyn’s work in teaching is through Rutger’s University, educating other professionals on best practices on providing therapy for depression and  trauma. 

Trauma-Informed Provider 

Trauma & Domestic Violence Support in NJ, Marilyn has expansive knowledge in aiding teens and families who are exposed to DV, trauma or other crises.  With her supportive and nonjudgmental approach, Marilyn supports clients on their healing journey to create a life that is safe, accepting and empowering.

Marilyn's Clinical Expertise, Credentials & Training


  • Masters of Social Work, Kean University, New Jersey
  • Bachelors of Psychology & Sociology, William Paterson University, New Jersey


  • Licensed Clinical Social Worker in New Jersey
  • Certified Confidential Sexual Violence Advocate in New Jersey
  • Girls Circle Facilitator Certification in New Jersey
  • School Social Worker Standard Certificate in New Jersey
  • Licensed Social Worker in New Jersey

A Word from your Therapist...

Marilyn DeFalco LCSW therapist for depression NJ


Thanks for stopping by my page! My name is Marilyn, and I am a licensed therapist, specializing in therapy for depression, stress and mood issues. I provide therapy for teens and adults in New Jersey as well as incorporating family counseling. 

If the vision you had for your life doesn’t reflect in your current reality, therapy can help you achieve the emotional health you deserve. Whether you’re seeking therapy for depression, stress or burnout, I am confident that together, we can create the life you envisioned.

Let therapy be  the space where you heal, grow, and reclaim your life.


Online Therapy in New Jersey Specializing in Depression, Stress, Burnout & More

By providing advocacy and counseling to teen and adult survivors of sexual abuse and sexual assault, Marilyn’s clients are able to reconnect with themselves, establish a sense of safety and begin their healing journey. Additionally, her expertise extends to intensive counseling services for adolescents in need. With extensive training, Along with her clinical training, Marilyn is dedicated to life-long learning, including research in neurobiology, integrative treatment for mental health and trauma such as somatic therapy and mindfulness practices.

Therapy For Teens at Mind by Design NJ

It’s normal teens to experience emotional fluctuations. Adjusting to changes can be challenging, and mental health issues might affect their relationships, school performance, and social development. Our qualified child and adolescent therapists are specially trained to communicate effectively with young individuals and their families, ensuring a comprehensive and empathetic approach to therapy

At MbD Counseling, we understand the unique challenges teens face in today’s world. Marilyn is highly qualified to help teens experiencing various challenges including:

  • Social Anxiety:
    • Experience social struggles or feel isolated.
  • Generalized Anxiety Disorder in Teens
    • Suffer from ongoing worry, anxiety, or fear.
  • Behavioral Issues
    • Display aggressive or unpredictable behavior
  • Adolescent perfectionism and anxiety
    • Face unusual levels of academic stress.
  • Mood Disorders
    • Have intense reactions to everyday situations and or fluctuate in mood and expression
  • Substance Misuse:
    • Experimenting with drugs or alcohol.
  • Separation Anxiety:
    • Show excessive attachment to caregivers
  • Adolescent Depression
    • Feel persistent sadness, hopelessness, or engage in self-harm.
  • ADHD, Depression, School Anxiety
    • Encounter sudden changes in academic performance or school engagement.
  • Low Self-Esteem:
    • Have issues with self-esteem, body image or sense of belonging
  • Adolescent OCD:
    • Develop compulsive behaviors, such as excessive hand washing, cleaning, or counting.
  • Gender and Sexuality:
    • Teens who are exploring their sexuality and identity.
  • Other symptoms commonly seen in teens:
    • Struggle with maintaining social relationships.
    • Lose interest in previously enjoyed activities.
    • Express suicidal thoughts or have difficulty with concentration and clear thinking.
    • Show signs of eating disorders or abrupt changes in sleeping or eating habits.

How Marilyn can help your Teen

We equip teens with not just the tools to modify specific behaviors, but also with lifelong coping skills for managing stress. We employ a range of proven, age-appropriate treatment techniques in our therapy for teens.

Our approach often includes collaboration with parents, caregivers, teachers, and families, ensuring a supportive environment for the teen’s growth.


Marilyn and our team of skilled professionals, dedicate themselves to assisting clients in crafting a personalized mental health treatment plan. Whether you’re dealing with depression, stress, social anxiety, or mood swings, it’s vital to connect with a therapist who can understand and address your unique needs effectively. To take the first step towards healing and regaining control of your life, consider scheduling an appointment today either by phone or through online booking.

Depression manifests in various ways, often misunderstood or overlooked. If you’re experiencing any of these symptoms consistently for over two weeks, it’s time to seek professional help:

  • Changes in appetite, either overeating or lack of appetite.
  • Persistent feelings of sadness, emptiness, or tearfulness.
  • Overwhelming guilt, worthlessness, or hopelessness.
  • Irritability or disproportionate anger over minor issues.
  • Fatigue or loss of energy for everyday activities.
  • Diminished interest in previously enjoyed activities.
  • Restlessness or sleep disturbances.
  • Slowed speech or movement.
  • Suicidal thoughts or tendencies.
  • Difficulty concentrating or remembering details.

Additional Therapy Services
at Mind by design

In addition to traditional talk therapy, we offer unique and individualized treatment options including:


➤ Virtual Reality Therapy 
➤ Ketamine Assisted Psychotherapy
➤ Creative Arts Expression

Expert Therapy For…

➤ Anxiety & Stress
➤ Grief & Loss
➤ Phobias
➤ Panic Attacks
➤ BIPOC Wellness
➤ Life Transitions
➤ Postpartum Mental Health

If you feel I could be a good fit to help you or your loved one, the next step is to reach out to complete a

New Client Inquiry Form

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FAQ's About
Online Therapy in New Jersey

How do I get started as a new client?

New Clients can reach out to us directly via call, text or email here:




Or, you can complete a new client form and we’ll reach out to you within 24 hours here:

new client contact form request contact

What is your cancellation policy?

We ask that clients provide at least 24 hours notice in the event that they need to cancel to avoid the 50% cancellation fee. we understand that life happens and do our best to be flexible & reschedule.

Does my insurance cover my visits?

We provide”Courtesy Billing” for clients who are using the Out-of-network insurance benefits.

Our Insurance Page shares a small blurb about Why We Left Insurance Panels

How Do I Know If Therapy Is Helping?

You should feel like you’re making progress. Signs it’s working include:

Feeling comfortable talking to your therapist
Your therapist respects boundaries
You’re moving towards your goals
You feel listened to
You’re doing better in life
Your self-esteem is getting better

Is Online Therapy Easy to Use for Non-Tech-Savvy People?

Yes, it’s pretty simple to access sessions. You’ll need basic internet skills, such as opening and visiting the patient link sent to you via email. It’s similar to video chatting like Facetime or Zoom. We can also walk you through it on the phone the first time to ensure a strong connection

How Should I Prepare for My First Session?

Showing up is all that you need to do! But if you really want to get the most out of session, it could help to take some time to think about what you want from therapy. It helps to write down your goals, questions you have or things that you feel are important to share. 

What is the difference between associate therapists & fully licensed therapists?

Our Qualifications:

Our founder, Rebecca Sidoti, is a highly qualified, state-licensed therapist and supervisor with extensive training in anxiety related disorders and innovative treatment such as Ketamine Therapy. Mind by Design Counseling adheres to standards set by the our governing counseling boards.

To see each providers credentials, training and licenses, visit our “Meet the Therapists” Page to learn more.


  • LAC/LSW are therapists who may practice clinical work under the supervision of a fully licensed therapist.
  • LPC/LCSW are therapists who have completed the necessary clinical hours post-graduation under supervision and can practice clinical work independently.

What Geographic Areas Are Served?

Currently, we serve clients in New Jersey and are expanding to other states as telehealth laws evolve. While telehealth offers the convenience of attending sessions from anywhere, state laws require clients to be in-state during their session.

Is Virtual Counseling Suitable for Everyone?

Online therapy might not be as effective for individuals with chronic suicidal thoughts, severe trauma, significant mental health history, or those recently in intensive care. Such cases often benefit more from traditional, in-person counseling. We’ll help you decide if our online services are right for you during your intake and evaluation.

What Equipment is Needed for Online Therapy?

To join a session, log in using the credentials we provide. No downloads are needed. Our platform, compatible with both individual and group sessions, requires:
A computer or mobile device with a webcam and internet access.
We’ll help you test your setup before your first appointment to ensure a reliable connection. iOS users should use the Safari browser for mobile and tablet sessions.

What Questions Should I Ask My New Therapist?

Feel free to ask anything. Some good questions are:

  • How often will we meet?
  • What do you specialize in?
  • What experience do you have with my issue?
  • What outcomes can I expect?
  • How will I know I’m progressing?
  • How long do you usually work with clients?
  • How will we set my treatment goals?

What Questions Will Therapists Ask Me?

It depends on your goals. Expect questions about your thoughts, feelings, relationships, work, school, and health. They’ll ask to understand your therapy goals.

Can I Change Therapists If I'm Not Happy?

Yes, you can switch therapists to another provider within the practice, or we can provide you a referral if preferred. We want to ensure that your time and effort are well spent, and that you are getting the relief you need, that’s why we work collaboratively with each other in the practice, as well as outside therapists who we know and trust.

How Do You Keep Client Information Secure?

Security and Confidentiality of Sessions:
Your privacy is crucial to us. We use TherapyNotes, a HIPAA-compliant platform, ensuring secure and confidential teletherapy sessions. This platform’s security features include encrypted video connections, secure data transfers, and encrypted databases, ensuring your information is safe at all times.

Is Online Therapy As Effective As In-Person Therapy?

Online therapy is essentially face-to-face counseling, just conducted remotely. Studies show that teletherapy is as effective as traditional counseling. Professional organizations and state governments recognize its benefits and have set regulations for it. However, like any therapy, its success in achieving your goals isn’t guaranteed. It’s important to discuss with your therapist whether teletherapy is working for you.

Do you offer traditional talk therapy?

of course! though we have some unconventional therapy approaches, we are rooted in evidenced based practices. Talk therapy is a major player in the therapy room! See What we Treat and Integrative Services for more information

What is Virtual Reality Therapy (VRT)?

VRT is an immersive tool that helps clients to explore environments that can not be traditionally explored in therapy. Visit our VR page for more info and to watch our infomercial 

What is VRT used for?

we use VRT to support Exposure Therapy, a long standing traditional therapy modality to treat phobias, anxiety and stress. we send a headset directly to your home so you can access VRT from anywhere.

VRT not only helps with exposure therapy for phobias, but is great for ADHD, mindfulness, PTSD and social anxiety.

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Therapy in New Jersey: Hope & Healing with Marilyn DeFalco