Lillian Tsai, LCSW

Client-centered support for life’s toughest transitions

Strength-based care
Trauma informed support
English and Mandarin

About Lillian Tsai

Lillian Tsai, LCSW, is a licensed clinical social worker in New York who brings 20 years of experience supporting people through a wide range of life challenges. She has worked across multiple settings, including child welfare agencies, victim treatment programs, and hospitals, which has shaped a grounded and practical perspective on care. Over the years, she has supported children, adolescents, and adults navigating concerns such as stress, depression, anxiety, relationship difficulties, domestic violence, trauma, PTSD, living with cancer, and the realities that can come with aging.

Her work is rooted in a client-centered approach that emphasizes each person’s strengths and the importance of building on what is already working. Lillian views therapy as a supportive partnership where the client plays an active role in shaping goals and the treatment plan. With a focus on collaboration and respect for each individual’s pace, she aims to help clients move toward greater stability, clarity, and a stronger sense of inner peace as they navigate whatever they are facing.

Areas of Expertise

Primary Focus

Stress, Anxiety Trauma and abuse Grief Depression Coping with life changes

Also Specializes In

LGBTRelationship issuesFamily conflictsSelf esteemCareer difficultiesCompassion fatigue

Additional Focus Areas

AbandonmentAging and geriatric issuesCancerCaregiver issues and stressCodependencyDomestic violenceEmptinessGuilt and shameHospice and end-of-life counselingIsolation / lonelinessMidlife crisisPostpartum depressionPost-traumatic stressSexual assault and abuseSocial anxiety and phobia

Therapeutic Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Emotionally-Focused Therapy (EFT) Existential Therapy Solution-Focused Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Lillian Tsai have?

Lillian Tsai has 20 years of experience providing therapy and support to clients.

Is Lillian Tsai a licensed therapist?

Yes. Lillian Tsai is a licensed clinical social worker (LCSW). Her license is NY LCSW 042265.

In which languages does Lillian Tsai provide therapy?

Lillian Tsai provides therapy in English and Mandarin.

Where is Lillian Tsai located?

Lillian Tsai is located in New York.

How can I work with Lillian Tsai as my therapist?

Sessions with Lillian Tsai are available through video calls, phone sessions, live chat, or text-based messaging, allowing clients to choose the format that best fits their schedule and comfort level.

Does Lillian Tsai work with international clients?

Yes. Lillian Tsai works with international clients.

How much does therapy with Lillian Tsai cost?

The cost of therapy can vary based on factors such as your location and the therapist’s availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the “Start Therapy” button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. Click the “Start Therapy” button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic Approaches That Translate Well to Online Care

Lillian Tsai draws from several evidence-informed approaches that can be effective in an online setting. Client-Centered Therapy focuses on creating a supportive, respectful space where clients can clarify what they are feeling and what they want to change, while also building on personal strengths and values. This approach is often helpful for stress, self-esteem concerns, grief, and major life transitions.

Cognitive Behavioral Therapy (CBT) is a practical, skills-based approach that looks at how thoughts, feelings, and actions influence one another. It can help clients notice unhelpful patterns and experiment with new coping strategies, which can be especially useful for anxiety, depression, and social anxiety. Emotionally-Focused Therapy (EFT) can also be helpful for relationship concerns by focusing on emotional needs, connection, and interaction patterns, supporting clients who want to strengthen communication and closeness.

Finding the right approach is part of the process. Lillian works collaboratively with clients to identify goals and preferences, then adjusts the work to fit what feels most useful and sustainable.

Online therapy adds flexibility, making it easier to get support in a way that fits real life. Clients can meet through video calls or phone sessions, or use live chat and text-based messaging for added convenience and ongoing support between scheduled sessions.

Ready to start therapy with Lillian Tsai?

Take the first step toward a better you.

Get Started