Rochester, New York

Individual Therapy in Rochester, NY

A thoughtful, collaborative space for adults who want to understand what is beneath the surface, move through a difficult season, or change patterns that no longer feel helpful.

You may know that something needs to change without yet having words for exactly what feels wrong. Perhaps anxiety is shaping your decisions, a transition has unsettled your sense of identity, or familiar ways of coping are creating distance from yourself and the people you care about.

Individual therapy offers protected time to slow down and understand how your history, emotions, relationships, and current circumstances are interacting. The work is tailored to you rather than organized around a one-size-fits-all formula.

Dr. Christina Ruzicka works with adults in person at her South Avenue office in Rochester and virtually throughout New York. Together, you can build greater awareness of recurring patterns while developing practical ways to respond with more choice, steadiness, and self-compassion.

Common concerns

What brings you to therapy

  • Anxiety, overthinking, or difficulty feeling settled

  • Major life transitions, grief, or changes in identity

  • Burnout, perfectionism, and the pressure to hold everything together

  • Recurring relationship patterns or difficulty setting boundaries

  • Body image, eating concerns, and complicated relationships with self-worth

  • Emotional intensity, disconnection, or coping strategies that no longer help

The approach

Therapy that looks beneath the immediate symptom

Christina's style is relational, psychodynamic, warm, and active. Sessions may combine emotional processing and reflection with tools drawn from psychodynamic psychotherapy, Acceptance and Commitment Therapy and Dialectical Behavior Therapy when those approaches fit your needs.

The goal is not to judge the strategies that helped you survive or to rush toward a quick fix. It is to understand what those strategies have been protecting, notice when they stop serving you, and practice responding differently.

The therapeutic relationship is part of that process. Christina aims to create a space where you can be honest, curious, and challenged with care.

What sessions can involve

A thoughtful process shaped around you

The first sessions focus on what brings you to therapy, the context that has shaped your experience, and what you hope will feel different. You do not need to arrive with a perfectly defined goal.

As the work develops, sessions may include noticing patterns in real time, making room for difficult emotions, connecting present struggles with earlier experiences, and trying practical skills between appointments.

Individual appointments are 50 minutes. In-person and virtual availability can vary, so the consultation is the best place to discuss scheduling and fit.

Common questions

Questions about this service

Do I need a specific diagnosis to begin therapy?

No. Many people begin because they feel overwhelmed, stuck, disconnected, or unlike themselves. The consultation and first sessions can help clarify what support would be most useful.

Is individual therapy only focused on the past?

No. Understanding earlier experiences can be useful when they illuminate a present pattern, but sessions also focus on what is happening now and what you want to change in daily life.

Can therapy include practical tools?

Yes. Depending on your goals, sessions may include skills for emotion regulation, anxiety, boundaries, communication, and responding differently to recurring patterns.

Are virtual appointments available?

Yes. Christina offers virtual therapy to clients located in New York, along with in-person appointments at the Rochester office.

Curious whether this could be a fit?

Request a consultation to ask questions and talk through what you are looking for.Fees and insurance →General therapy FAQs →