In his career Dr. Giacomoni has provided milieu therapy, group therapy, and inpatient therapy. However, his favorite modality is outpatient individual therapy, which is where he currently concentrates his therapy practice. He has particular training and expertise working with depression, anxiety, trauma, and personality disorders. Dr. Giacomoni’s clinical practice is primarily influenced by psychoanalytic theory and cognitive therapy, and his practice often blends the two clinical approaches.
Regarding trauma Dr. Giacomoni has extensive experience working with people who have experienced domestic violence, emotional abuse, sexual abuse, sexual assault, physical assault, and vehicle accidents. He recognizes that trauma can be an underlying factor in a variety of clinical concerns such as depression, anxiety, dependency, low self-esteem, shame and guilt, intimacy issues, and family conflicts.
Although he does not typically formally diagnose a personality disorder, Dr. Giacomoni has experience with working with borderline, narcissistic, avoidant, and dependent personalities. In his understanding of people, Dr. Giacomoni largely believes that personality in large part drives symptomology. For this reason he is more interested in the etiology rather than the symptomology of a ‘diagnosis.’ Therefore Dr. Giacomoni works to address the whole person rather than a certain set of symptoms.