Accepting New Clients!
Larry Smiglewski, Therapist at Fire Island Pines Psychotherapy

Larry Smiglewski

He/Him

Psychotherapist ✦ MFT NYS #P139304

Supervised Practice


Services I Offer

My Therapeutic Modalities

  • Narrative Therapy
  • Solution Focused Therapy
  • Cognitive Behavioral Therapy (CBT-informed)
  • Dialectical Behavior Therapy (DBT-informed)
  • Relational Therapy
  • Harm Reduction Psychotherapy
  • LGBTQ+ Affirmative Therapy
  • Sex Positive Therapy
  • Anti-Oppressive & Decolonized Therapy Practices
  • Attachment-Based Therapy
  • Complex Trauma (C-PTSD) Treatment
  • Internal Family Systems (IFS)
  • Psychodynamic Psychotherapy

I Am Currently Calling In

  • Creatives, performers, and artists
  • Kinky
  • Poly
  • TGNC folks
  • Folks who have tried therapy before with no success but want to do the deeper level work
  • High-Functioning, Burnt-Out Professionals
  • Neurodivergent (“neurospicy”) individuals seeking affirming, non-pathologizing care.

Therapy should feel like a place you can exhale, not perform.

Larry Smiglewski

My Areas of Expertise

  • ADHD/ Neurodivergence
  • Anxiety Management
  • Anxiety and high-stress lifestyles
  • Clients seeking insight-oriented and reflective therapy
  • Identity development and integration across life stages
  • Academic and Life Transitions
  • Identity and role shifts across adulthood

My Specializations

  • Anxiety
  • Depression
  • Grief
  • LGBTQIA+
  • Relationships
  • Family Conflict
  • Work Stress
  • Culturally Responsive

About Me

As a member of the LGBTQIA+ community, I bring over 20 years of experience across the theatrical arts and business worlds from classrooms to Broadway. I hold a degree in Marriage and Family Therapy, along with advanced degrees in Theatre and Education. This multidisciplinary background informs my holistic and creative approach to therapy.

My work centers on creating a safe, supportive, and queer-affirming environment where clients feel seen, heard, and empowered. I strive to meet each individual exactly where they are, offering thoughtful guidance and walking alongside you as we navigate life’s complexities. Together, we work to deepen self-understanding, clarify needs, and develop meaningful goals.

As a queer therapist, my practice is grounded in Narrative and Solution-Focused theories. I integrate these frameworks to foster a collaborative therapeutic space where LGBTQIA+ individuals can explore their identities and experiences authentically – recognizing the unique challenges that can arise in our community, balancing everyday responsibilities with larger personal aspirations. My queer-centered approach is tailored to each client, providing personalized strategies that support growth, resilience, and self-expression.

Availability

Accepting New Clients

Telehealth Throughout New York State. In person at 606 Johnson Ave, Suite 9, Bohemia, NY

Your Complimentary Consultation Is Waiting

Come as you are. No explaining yourself required.