At Dr. Stephen Oreski & Associates, we operate a warm, client-focused psychotherapy practice in Paramus, New Jersey, serving children, adolescents, adults, couples, and families throughout Bergen County and nearby communities. Under the leadership of Dr. Stephen Oreski, LCSW, our multidisciplinary team delivers high-quality, evidence-based mental health care within a welcoming and inclusive setting. We approach every individual with respect, empathy, and genuine concern. Our services address a broad range of needs, including anxiety, depression, trauma and PTSD, stress, grief and loss, ADHD, relationship challenges, family conflict, self-esteem concerns, and major life transitions. Our clinicians integrate approaches such as Cognitive Behavioral Therapy, DBT-informed skills, trauma-focused care, mindfulness-based practices, and attachment-oriented treatment.
We recognize that effective therapy must be tailored to the individual, and we design each treatment plan to reflect the unique goals and experiences of our clients. Through collaboration, we help clients identify unhelpful patterns, develop practical coping strategies, and create sustainable change. Our therapists prioritize a safe, nonjudgmental environment where difficult emotions can be explored openly. To ensure flexibility and access, we provide both in-person sessions at our Paramus office and secure telehealth services across New Jersey. We remain firmly committed to inclusivity and cultural sensitivity, welcoming individuals and families from diverse backgrounds, identities, and life circumstances. Whether support is sought for personal growth, a child, a relationship, or a family, we remain dedicated to offering consistent, compassionate, and skilled care.
- New Jersey, New York, Bergen County, NJ, Hudson County, NJ, Passaic County, NJ
- Year established: 2012
- Employees: 30
- Licensed
- Insured
- Trusted local practice in 40+ yeasrs in Paramus, NJ serving Bergen County and surrounding areas
- Led by Dr. Stephen Oreski, LCSW with a strong reputation and established community presence
- Warm, welcoming, and client-centered environment—emphasis on feeling safe, heard, and respected
- Inclusive and culturally sensitive, welcoming clients of diverse backgrounds, identities, and families
- Personalized treatment plans tailored to each client’s goals, pace, and life circumstances
- Top Rated Therapist 2021, 2022, 2023, 2024
- Cash, Checks, Debit cards, Credit cards, Mobile payments, Bank transfers
We deliver individualized counseling that goes beyond simply discussing concerns. Our work is grounded in research-supported interventions that are customized to each clients needs. By emphasizing personal strengths and attainable solutions, we help clients gain insight, regulate emotions, and build the skills necessary to move closer to their personal goals. 
Our practice specializes in helping children develop healthy coping skills, confidence, and emotional balance. Through structured, evidence-based interventions and creative therapeutic techniques, we tailor care to each childs specific concerns. We partner with parents and coordinate with schools when appropriate to support long-term growth. Both in-office and telehealth services are available. 
Our teen counseling services address mood changes, academic stress, social withdrawal, and growing independence. We work closely with adolescents to develop healthy emotional regulation and confidence. Parents are supported through education and collaborative guidance. A family-centered approach strengthens trust and understanding. Both in-person and secure virtual sessions are offered. 
We specialize in helping couples develop stronger communication, repair emotional injuries, and restore relational stability. Through a personalized, goal-oriented process, we address both surface conflicts and root emotional dynamics. Our licensed therapists offer confidential, neutral support to promote insight, collaboration, and lasting improvement in the overall quality of your relationship. For the past seven months, I have been working with this therapist and can confidently say that I am now in a much better place, thanks to their unwavering support and expertise. The practice's well-trained staff provides outstanding service, offering everything from free phone consultations to in-person therapy sessions. Even on days when I could not attend in person, they accommodated me with virtual sessions, ensuring that I never felt alone in my journey.
The dedication and compassion shown by Dr. Stephen J. Oreski and his team have truly transformed my life. Their holistic approach to mental health care, flexibility, and commitment to patient well-being have allowed me to make significant strides in my recovery. I can never thank them enough for their positive impact on my life. I eagerly look forward to continuing my growth journey with them and viewing life through a brighter, more hopeful lens. This practice has provided me with the tools to overcome my struggles and a renewed sense of optimism and resilience.