Dr. Cristina M. Andriani

PhD, LMHC, CLC

PSYCHOTHERAPIST AND LIFE COACH


LIFE COACHING AVAILABLE WORLDWIDE

PSYCHOTHERAPY AVAILABLE IN MASSACHUSETTS

IN PERSON SERVICES IN NORTH GRAFTON, MA




EMPOWERING THE JOURNEY TO YOUR BEST SELF


Hello and Welcome

Reaching out for professional support is a valuable first step towards change. It is an investment in yourself, and the return on that will last for a lifetime.

I am here for you. I can be that sounding board, the good listener who is able to understand and empathize, that coach or cheerleader, that person who has no ulterior motives or vested interest in anything other than helping you get to a better space.

My job is to help you figure out what is right for you in a non-judgmental, neutral, safe and confidential environment. What is ‘right’ for any one person will vary, so there is no cookie cutter approach. We partner together to map out your path to healing, growth and resilience.

Please read on, or reach out, to figure out what services are right for you.



Four metaphors of getting professional help

Psychotherapy and life coaching can be useful in different ways. I use four metaphors to describe some of the most common approaches people take to seeking professional help. See which one best describes you:

1. The emergency room: Some seek out therapy when there is a crisis in order to get through the crisis in the best way they can, the same way you would visit the emergency room to receive emergency medical services. Typically this type of counseling is problem-focused and solution oriented. Crisis counseling is to facilitate stabilization.

2. Physical therapy: Some people see counseling as a way to receive support to heal from a crisis and minimize long term damage. Counseling is used to work through the repercussions of the crisis to avoid the development of permanent unhealthy behaviors or thoughts, the same way physical therapy is used after an injury has occurred to allow the muscles to heal correctly and break down scar tissue.

3. Chiropractic care: One might start care with regular visits to adjust skeletal alignment. The visits become less and less frequent, until they are only on an as needed basis to fix minor slip ups and misalignments. Counseling can serve that function as well: it can help you change patterns that you would like to change until you only need to check in occasionally to sustain the level of wellness you have achieved.

4. Personal training: A personal trainer works with you on a regular basis, short term, to help you challenge yourself to achieve the health goal you have set for yourself or as a preventative measure. For example, if someone is pre-diabetic, they might choose to work with a trainer on diet and exercise to improve their health to prevent diabetes, or for personal improvement (wanting to build muscle tone or endurance). Trainers provide the equipment, knowledge, structure and support to help you achieve the goal. This type of support falls under life coaching, where you work towards becoming a better version of yourself, for personal growth or to prevent mental health concerns from becoming issues that require long term work later.





SERVICES



PSYCHOTHERAPY


I have been a psychotherapist for 25 years. In private practice, I work primarily with adults. My focus, whether doing trauma or couples counseling, is the intrapersonal and interpersonal relationship. I work with individuals to change the relationship they have with themselves, their feelings, their thoughts, and their bodies. We work together to create a healthier internal dialogue and dynamic that alleviates symptoms, restructures thinking patterns and improves actions. I work with couples to change their relationships with each other, their communication, connection, and dynamic. We work as a team to heal past relationship wounds and prevent new ones.

Our work is collaborative. In our team, I work to create a safe and judgment free environment for self-expression, to listen, to understand, to explore issue with you and dig deep to get to the root of what you want to address. You work to gain the insights, to change and evolve, to challenge yourself out of your comfort and into growth. Research has shown that people who fully participate in the process of therapy or life coaching make the most rapid gains.


Adult psychotherapy

Individual counseling is a personal opportunity to receive support and experience growth during challenging times in life. Individual counseling can help you deal with many personal topics in life such as anger, depression, anxiety, trauma, marriage and relationship challenges, parenting problems, school difficulties, career changes etc. Depending on the issues we are addressing, we might explore changing unhealthy thought or behavior patterns, delve into value and belief blueprints and whether these serve you today. You might learn and practice coping strategies, or we may work on changing your inner dialogue with yourself to a kinder more constructive and self-loving one.


Couples therapy

Every couple experiences ups and downs in their levels of closeness and harmony over time. Sometimes these issues can put the relationship at risk. Couples counseling can help resolve conflicts and heal wounds. This can range from basic concerns of stagnation to serious expressions of aggressive behavior. Overall, couples counseling can help couples slow down their negative spiral and reestablish realistic expectations and goals. Depending on what couples bring into sessions, we might address conflict patterns, improve communication skills, or dig into childhood to understand how blueprints from your caretakers have impacted the relationship blueprint and work to recreate them to align with the desired relationship.










LIFE COACHING


My role in life coaching is to partner with clients to proactively shape decisions, patterns, and relationships to maximize personal potential. In coaching we work to address a problem that you would like to solve, or to overcome a challenge that has presented itself in your life. We explore your inner wisdom and knowledge to figure out your direction when there is fork in the road. Our work is more present focused and future oriented.

While in psychotherapy much of the work orients around healing from and changing things that have negatively impacted mental health (usually a longer-term investment), in life coaching, there is less “undoing” to do, so more energy can be invested in growth and positive change. We maximize transformation by creating concrete action steps and accountability checks.


Life Coaching for Individuals

I accompany you through your thoughts, feelings, intuitions, values, and beliefs. I ask thought provoking questions that invite thinking outside the box to create new insights and clarity so that the meaningful steps you choose to take in pivotal life moments are wholeheartedly and authentically yours. When there is a fork in the road, an opportunity for personal change, a transition in life, coaching can quieten the outside chatter of what you should and shouldn’t do according to the world around you. Individual life coaching is a deep dive into the ocean of oneself with a certified scuba partner by your side.

If you have a specific area of growth you would like to work on, we can tailor a plan for you that meets your needs and ensure I am the right person to coach you given my knowledge and experience in light of what you are seeking to achieve.


Relationship Coaching

Relationship coaching is for couples who wish to strengthen their relationship. In coaching couples can learn and practice fully listening to, hearing, understanding, validating and empathizing with each other. They can come to understand meaningful dialogue (instead of mutual monologue), the importance of timing, and how to prepare for these conversations so that each partner may show up to the dialogue as their best and most receptive self. Partners can gain insight into when communication is constructive and when to disengage before it becomes destructive. Partners can explore their own and each other’s conflict patterns and how to best de-escalate.

Short term relationship coaching can help couples build a solid foundation of skills with which to handle current and future issues so that they can grow the relationship rather than tearing it apart.


SERVICES ALSO OFFERED IN FRENCH AND ITALIAN











Dr. Cristina Andriani

When looking for a helping professional, it is important that you find the right person for you. Ask yourself: How do I feel about this person? Do they seem comfortable and compatible? Do they have the experience and training to work with my specific problems?

I am more than happy to have you call and ask me the questions you have, to figure out if I am the right person for you. In the meantime, let me offer you some information that may be useful to you.

The Professional Relationship

Working with a therapist or a life coach for the first time can be an uncomfortable experience. Unlike going to the doctor’s office, where you are a passive participant, and the doctor ‘fixes’ you, in this personal work your active participation and investment are essential to your progress. Research has confirmed that people who fully participate in the process make the most rapid gains. Therefore, I will be asking you to work in partnership with me, to think about yourself, your strengths, your challenges, your problems and your goals, and often, to work on action steps in your own time in between sessions.

I think of us as experts coming to the table with different sets of expertise. I have studied, gotten degrees and certifications, attended conferences, and learned from years of experience with clients. I know different approaches, techniques, skills. You are the best expert on you: you know what you’re thinking, what you’re feeling, what you’ve tried, what’s worked and what hasn’t. You know your strengths and your supports. We work as a team to figure out how to best get you to where you would like to be. You set the pace, you set the tone, you set the goals, and ultimately you are doing the mental and emotional work!

Furthermore, it is important that you understand that in both therapy and life coaching there is not a guarantee that your problems will be resolved. At times, it may be advisable to seek alternate or additional resources, at which point I will help you find what seems most suited based on your needs.


My counseling approach

I am eclectic. I don’t believe any one approach is best, but rather that the approach is determined by the type of problem or concern a person presents with and their personality. I tend to use Cognitive Behavior Therapy (targeting specific problematic behaviors and thought patterns and emphasizing concrete techniques to change behaviors and thinking patterns) for depression and anxiety. I tend to take a Psychoanalytic approach when working with trauma, or adults who are looking to understand themselves better, because it allows for an exploration of how the past impacts the present and interpersonal relationship dynamics. My training in conflict analysis and resolution, IMAGO, and Gottman approaches is particularly helpful when I work with couples where we look at improving communication patterns, connection and intimacy, and reducing conflict. I frequently introduce psycho-education into therapy when it seems that a new skill is needed for clients to achieve well-being.

My work history is diverse. I have worked in a variety of settings (private practice, telehealth, outpatient, inpatient, residential) and with a mix of populations (adults, couples, adolescents, children, multi-cultural, and LGBTQ) dealing with a multitude of issues (depression, anxiety, bipolar, anger management, trauma, adjustment disorders). I have a specialization in trauma-based disorders (PTSD, Dissociative Disorders, and Dissociative Identity Disorder), and relationship work (interpersonal dynamics, conflict resolution, couples therapy).

For the past several years I have also been joined in the office by Stacy Sprinkletoes, a rescued greyhound and certified therapy dog.


My life coaching approach

In life coaching, the work can be incredibly fluid. I focus on using open ended exploratory questions and reflective listening to best help you gain a profound understanding of current patterns that are not helpful, problems, challenges, and deep dive into motives, thoughts, and desired changes. I sometimes do visualizations, or positioning exercises. We team up to break down desired changes into actionable, tangible, measurable steps. We cycle in a pattern of exploration, evaluation, creation, and implementation until the work is done. My counseling background is an asset to this work because I have 20 years of exploration experience under my belt.


My personality and style

I was born in the United States, grew up in Geneva, Switzerland and my family is Italian. My multi-national background makes me particularly sensitive to people’s cultures and value systems. I have lived in a variety of communities which has equipped me with the experience and knowledge to work comfortably with both “mainstream” and “alternative” people, whether it be in terms of culture, religion, or sexuality. I give credit to my Italian heritage for my warm and welcoming personality. I am expressive, empathic, funny (because humor does have a place in the work we do), and creative. My professional philosophy is that clients need to be understood as whole people within their context, and that their healing is a combination of teaching them the tools for a healthier life, honoring their strengths, empathizing with the difficulties they encounter, yet challenging them to grow in spite of obstacles.






Education

PhD in Psychology (August 2013)
Clark University, Worcester, MA

MA in Conflict Analysis and Resolution (May 2009)
Nova Southeastern University, Ft. Lauderdale, FL

MA in Marriage and Family Therapy (December 2000)

BS in Child and Family Studies (May 1998)
Syracuse University, Syracuse, NY






Credentials

Master Certified Life Coach (March 2025)

Certified Life Coach (January 2025)

Massachusetts Licensed Mental Health Counselor #8707 (January 2014 to present)

Florida Licensed Mental Health Counselor #8252 (March 2005 to March 2015)

Certified Hypnotherapist (May 2002)






FREQUENTLY ASKED QUESTIONS

What is psychotherapy?

Psychotherapy typically involves regular sessions (weekly to start usually, then decreasing to every other week or monthly when appropriate), for a period of a few months, to a few years, depending on the person, situation and issues being addressed. Therapists can provide support, problem-solving skills, and enhanced coping strategies for issues such as depression, anxiety, relationship troubles, unresolved childhood issues, grief, stress or anger management. Therapists can provide a fresh perspective on a difficult problem or point you in the direction of a solution. The benefits you obtain from therapy depend on how well you use the process and put into practice what you learn. Some of the benefits include:

  • Understanding and managing or changing your thoughts, feelings, and behaviors.
  • Developing healthy coping skills.
  • Finding resolution to the issues or concerns that led you to seek therapy.
  • Learning new ways to cope with stressful life events.
  • Managing anger, grief, depression, and other emotional pressures.
  • Improving relationships.
  • Enhance self-awareness and insight.
  • Building your self-esteem and boosting self-confidence!


What is life coaching?

The International Coaching Federation (ICF), defines coaching as “partnering with clients in a thought-provoking and creative process that inspires them to maximize their personal and professional potential. Professional coaches provide an ongoing partnership designed to help clients produce fulfilling results in their personal and professional lives. Coaches help people improve their performances and enhance the quality of their lives. Coaches are trained to listen, to observe and to customize their approach to individual client needs. They seek to elicit solutions and strategies from the client; they believe the client is naturally creative and resourceful. The coach’s job is to provide support to enhance the skills, resources and creativity that the client already has.”

Life coaching is typically shorter term, 4-12 sessions, over a few months.


What is the difference between psychotherapy and life coaching?

Both professional counselors and coaches see similarities between the two fields, but also draw sharp distinctions. There is a spectrum of need. Counseling focuses on moving people from a state of dysfunction to one of being functional. But there are many people who are very functional, yet maybe not highly functional or achieving their full potential. Coaching provides an alternative.

Coaching has a narrower focus than counseling. It helps clients set manageable goals and reach them, especially someone who doesn’t know where to start or how to tackle a big change in their life.






Is psychotherapy right for me?

Counseling is appropriate when someone is struggling such that it is affecting their daily life and relationships in meaningful ways that impact functioning. Psychotherapy is typically for people who are in crisis or struggling in their lives and would like to return to a place of stability. Sometimes the crisis is life altering, sometimes it is an accumulation of smaller events, sometimes it is a time of transition.


Is life coaching right for me?

Life coaching is for people who are looking to launch into personal growth. There can be a prompting crisis or a transition, a turning point (whether internally driven or externally prompted) that creates a yearning for change. The person who is seeking life coaching may be destabilized, but is functioning day to day, however realizing they want to thrive instead of just getting through. Life coaching is appropriate when someone is looking for a neutral and safe space within which to deep dive into themselves in ways they haven’t before through meaningful guided self-reflection.


Are services covered by insurance?

I do accept insurance for individual psychotherapy (I am paneled with several, but not all, insurance companies so please check). For insurance to cover, a client must meet medical necessity requirements (which means a diagnosis must be given and the symptoms must be affecting the individual’s daily functioning in some way or another).

I sometimes accept insurance for couples counseling. Why sometimes? Because insurance only covers 50-minute sessions for couples, and only if there is one partner of the couple who carries a mental health diagnosis, and the couple’s distress is worsening symptoms, or symptoms are impacting the relationship. This framing can be antitherapeutic in couples work, where we want to evaluate the dynamic neutrally and create a collaborative mutually supportive environment. Additionally, a 50-minute session is not always appropriate or sufficient for couples, depending on the work being done. This sometimes leads couples to opening up and being vulnerable without having time for closure on an issue, or to feeling rushed at the detriment of gaining depth and insight. For some couples I strongly recommend 90-minute sessions or a double session to be able to bring up, address, and work through an issue from beginning to end.

Insurance does not cover life coaching services.

If you are private paying for counseling or life coaching, please consider this a valuable investment in yourself or your relationship. This is not a frivolous expense. It is a commitment to growth, an important gift to yourself at a time when deeper clarity and insight can help you achieve more meaningful results.


Is life coaching or counseling worth the money?

This depends on whether you have a challenge you would like to overcome or a problem you would like to solve, and whether you are ready to tackle these issues now. The worth is yours to determine. How much do you value professional help on what you would like to achieve? Is a car repair worth going to the mechanic? Is the visit to the salon worth the haircut? Color? Nails? Is the visit to the ER worth the medical bills?

But let’s also talk research findings for a moment:

• A review of over 50 studies on the effectiveness of psychotherapy unanimously shows that it is effective for a variety of mental and behavioral health issues and across a spectrum of population groups. Psychotherapy teaches patients life skills that last beyond the course of treatment. The average effects of psychotherapy are larger than the effects produced by many medical treatments AND tend to last longer than psychopharmacological treatments.

• A review of 18 studies in 2014 investigated the relationship between various coaching interventions and individual outcomes. What they found was that coaching has significant positive impacts on all the outcomes they measured: performance and skills, wellbeing, coping, work attitudes and goal-directed self-regulation.

• A global coaching client study by the ICF found that “80% of people who receive coaching report increased self-confidence, and over 70% benefit from improved work performance, relationships, and more effective communication skills.”


Am I ready for therapy or life coaching?

Both therapy and life coaching are deeply personal and often challenging process.

Entering therapy or life coaching involves honest self-assessment and openness to addressing the personal and social challenges we face every day, the same challenges we often choose to hide from others and even ourselves. This requires trusting a professional with self-disclosure and welcoming their questions, reflections and feedback. It often pushes us to challenge our self-perceptions — and perceptions of those around us — and assess the thought patterns and coping habits that have become second-nature.

Therapy or life coaching cannot be nearly as effective without openness and a willingness to challenge one’s thoughts, biases, and preconceptions. But if you have been considering therapy or life coaching and feel open to an honest dialogue with a professional, you may find the process deeply rewarding. The most fundamental question to ask yourself is: Am I looking for and open to change? If the answer is “no, I’m not,” the timing might not be right at the moment. If your answer is “yes, I am”, then reach out!


What if I'm not sure?

Call me. We can assess that together. You can decide whether you would like to start a coaching or a counseling relationship with me and figure out whether I am the right person for you. The brief initial consultation is free.



Are you ready to invest in yourself?

This email address is being protected from spambots. You need JavaScript enabled to view it., or give me a call at (774) 420 6808.

CALL DR. ANDRIANI TODAY!




Contact Address

Dr. Cristina M. Andriani, PhD

80 Worcester St, Suite 10

North Grafton, MA 01536

Phone: (774) 420 6808

Email: dr.c.andriani@gmail.com