Because talking about life is as important as living it.


****As a friendly reminder we are now accepting COPAYS BEFORE each appointment which can be paid at the website.

For billing questions, please call Jason Collins-- Billing Department at 203-804-5504


Thelma A Costello LMHC Counseling & Therapy Video

Are you anxious or nervous? Does it seem like you can't breathe or struggle to focus? 

Are you struggling with family friends or work? 

Have you tried to solve the problems in your life on your own and realized you need help from someone else? 

If you answered yes to any of these questions, then you have made the right choice by being here. We know seeking help can be hard. You've likely been debating seeking help for months, if not years, but we're so glad you have taken the courageous step of being here. 

Together we can work to help equip you with the necessary tools to help you face and overcome your challenges. Whether you're struggling with anxiety, addiction, or grief/loss issues, it is important that you know you don't have to be alone in this journey. We have the experience to help you achieve your goals, overcome these struggles, and live a more fulfilling and meaningful life. 

We understand no two individuals are the same, and we tailor our sessions together to address challenges unique to you. We will work together to understand the root cause of your struggles and address them with long-lasting strategies, helping you get closer to the life you've always wanted. 

If you're ready to work towards the life you've always wanted, we're ready when you are. 

Contact us today and let's get to work.

I Specialize In:

Mental Health
Cognitive Behavioral Health
DWI Evaluations 
Nutritional Health & Balance

Read more about my specialties.

Compassionate & Professional

We care about you, your family, and your story. You can trust that we will treat you with respect, dignity and compassion in every interaction, while maintaining the highest standards for integrity and ethics.

Let's connect online and get started!

About Thelma A Costello, MS, LMHC, P.C.

Thelma Costello is a Licensed Mental Health Therapist specializing in individual therapy, addiction therapy and relapse prevention, and maintains a private practice in Albany, New York.

With over [35] years experience as a Mental Health Specialist, and as a graduate of Capella University specializing in Cognitive Behavioral Therapy, she is currently serving as private practitioner working with a broad spectrum of clients. Among her areas of expertise are mental health, depression, anxiety, PTSD, behavioral cognitive restructuring, relapse prevention, DWI evaluations, alcohol and drug education, women’s issues, grief/loss issues, nutritional education and supplements.

What our clients have to say

Click here to read more about what people are saying about Thelma Costello, MS, LMHC, PC.

"Thelma has been an important part of my recovery and personal life. She has helped me tremendously and has put me at ease more times than I can count. I have gotten great advice and solving mechanisms with family and relationship issues. I always go into her office knowing I'm in a safe place. Her office itself is unlike any other therapists office I've been to. It's very inviting, comfy, and serene. I no doubt would recommend Thelma to other people. After seeing several other therapists and losing hope before, I can finally say I believe in therapy and it's benefits. She is always on top of calling and confirming appointments so I don't forget. Her scheduling and punctuality is always on point. She has even been available after hours for me in emergency times. Overall, 10/10 for Thelma she is a blessing!"

Nicole, Google Review

"Thelma has opened my eyes to the wonderful world of opportunities ALL of our lives has to give. However only our actions can lead us to healthy choices, like whom and what you surround yourself . Thelma is serious about helping anyone who walks through her door, and I'd imagine that anyone who's not open to change will probably not succeed. The reason we all have to go to counseling is to improve; our lives, relationships, roles in employment, etc...

I've been with Thelma for a while now, and the most important thing learned has been self-actualization, or being all you can be in all facets of life, as I strive to be. I used to see Thelma once a week in the beginning stages, but now I see her once a month or two to stay on track. Because of her help I have a genuine smile on my face(most the time:-)... She's super-friendly and easy to talk to about ANYTHING. I'd recommend Thelma Costello in a heart-beat to anyone seeking counseling for any wide array of reasons!"

Stephen P., Google Review

"Always gives encouraging and interactive ways to cope with what you're going through. It's not just sitting and talking about your problems, but finding ways to get through them so you know how to handle the situation better if you ever encounter it again. I always leave feeling safe and like I'm heading in the right direction."

Kelsie H., Google Review

"Thelma genuinely cares about the people she sees. She is very responsive during and after office hours, and she works tirelessly to ensure common barriers to treatment are minimized such as financial issues and distance. She also serves as a role model for her clients, always striving to further her education and certifications. Thelma is one of the best therapists in the Capital Region, and an incredible mentor."

Bianca R., Google Review

"Feeling very powerful after a life saving session with Dr. Costello . Very professional gave me her undivided attention and even followed up with me before my next session.

Dr Costello has changed my life with guidance and concerns throughout my sessions with her.

I would highly recommend her for anyone who is feeling like they may need professional help!!!"

Lori M., Google Review

"She's been very motivational. She a straight shooter and she'll tell you how she sees it opposed to telling you what you want to hear. She give great recommendations on how to deal with situations. Without her i don't think i would've started my life journey with school and positivity."

Ashlie F., Google Review

"Thelma is a good person she help me and my family when my mother pass way i have been going to her for ten year when any thing going on in my life i know i can talk to her about it she has help me a great deal with all of the things that happen in my life"

Tinnie M., Google Review

"Thelma exemplifies an extraordinary work ethic and has changed the lives of many individuals....."

Debra P., Google Review