A New Standard for Your Healing

This is Therapy Reimagined. Because let’s be real—the "traditional" clinical vibe is exhausting.

We provide intimate, unfiltered support for Millennials and Gen Z who are over the "traditional" clinical vibe. We know you're over-extended. You don’t need a cold office, a clipboard, and a therapist who just nods. You need a space where you can be unfiltered. 

You aren’t just a 45-minute session on a crowded calendar. You are a human we are strategically invested in. 

Meet Alicia.

A woman with long brown hair, wearing a floral dress, smiling and walking outdoors on a grassy area near a wooden fence with green trees and sunlight in the background.

Alicia Italiano, LCSW | Owner + Founder

It’s time to experience boutique therapy created for your real life. So I created The Nest.

I’ve always been the one people turned to—the classic "parentified child" who learned way too early how to take care of everyone else. It’s basically why I became a therapist (LOL). But it’s also why I’m so protective of the vibe here. I’m not interested in running a big, cold agency; I built the Nest because I believe therapy works best when it actually feels human.

My path here was personal.

I’ve walked through my own chapters of trauma, grief, and loss. I know what that "stuck" feeling is like. As a Millennial therapist who has been on the other side of the couch, I’m not just repeating theory from a classroom.

I have a decade of clinical experience, a Master’s from Stony Brook, and the license to back up the work we do—but I still show up as a real person. I’m a firm believer that the relationship we build is the most important factor in your healing. This is your "safe rehearsal"—the place where you practice being unfiltered and unmuted so you can eventually take that same confidence back into your real life.

I chose to put my office inside Revival Strength & Recovery because the environment you’re in matters. For you to feel comfortable enough to do the hard work, the space needs to feel good. I wanted to move away from the sterile, "patient-in-a-waiting-room" atmosphere and create something that felt like a community. On Long Island, the isolation is real, and I wanted to build a bridge out of that.

Eventually, the need for this kind of therapy was bigger than just me.

I expanded to a small team of specialists who truly understand the Millennial and Gen Z experience. I trust every therapist here to provide the same high-level, intimate care I’ve built this practice on. We’re here to give you the actual tools and accountability you need to stop performing for everyone else and finally start living for yourself.

The Strategy

After a decade in the field, I’ve learned that the best work happens when we skip the clinical filter. This is high-level strategy met with a genuine, human connection. Consider this your "low-stakes rehearsal space."

We use sessions to test-drive new ways of being before you take them into the real world...

You’ll leave with a tangible blueprint to set boundaries without the guilt—no performance required...

Past pain shouldn't dictate your success. It’s time to feel safe in your skin.

Quiet the noise. For the perfectionism and mental chatter, we get tactical.

We use actionable skills to manage chronic overthinking and shift looping thought patterns.

We clear the mental fog so you can finally focus on what actually matters.

Meet the team

Long Island Heart. New York Wide.

Map of Long Island showing locations of in person and virtual counseling services. In person counseling is marked in light blue and virtual counseling in light green. Locations include East Setauket, Port Jefferson, Riverhead, Suffolk, Montauk, and others.

The Nest isn’t just a practice; it’s a destination. Whether you’re visiting our East Setauket office or logging in from your couch somewhere in New York, we’re exactly where you need us to be.  Our Office is strategically located inside the Revival Strength & Recovery Wellness Center— a space that feels less like a doctor’s office and more like a breath of fresh air. Click here to get started!

Live Local? Visit us in-person at our East Setauket office!

East Setauket, NY 11733

13 Technology Drive,

Your well-being is just as important as your to-do list.

Schedule a consult

Schedule a consult