Natasha Kostek PsyD

Natasha Kostek, Psy.D.

Natasha Kostek, Psy.D.

Dr. Natasha Kostek is a NYS licensed psychologist whose practice centers on evidence-based treatment of anxiety and related conditions, depressive disorders, emotion regulation difficulties, executive dysfunction, and disruptive behavior challenges. In her work, Dr. Kostek integrates cognitive-behavioral therapy (CBT), acceptance and commitment therapy (ACT), and dialectical behavior therapy (DBT) techniques to provide person-centered care for children, adolescents, and adults. She offers individual therapy, group therapy, and parent training.

Dr. Kostek brings genuineness and empathy to her work, focusing on clients’ strengths and viewing herself as part of a team with clients and families in working toward collaboratively identified goals. Recognizing that many individuals and families come to therapy during periods of significant pain and hardship, she strives to create a warm, accepting, and nonjudgmental space in which clients can feel understood and supported. She encourages clients to approach themselves with self-compassion while also helping them to identify and work toward meaningful changes that can help them build richer, more easeful lives.

Dr. Kostek applies this collaborative perspective across the broader systems that shape her clients’ lives. When working with youth, she actively involves parents as key members of a child’s therapeutic team. She partners with caregivers and families to promote consistency and reinforce progress outside of sessions, while also offering dedicated Behavioral Parent Training when indicated. When possible, Dr. Kostek regularly consults with school personnel and other providers to coordinate care and advance clients’ therapeutic goals in an integrated manner.

Dr. Kostek is also passionate about group-based interventions and has experience leading and co-leading grief, DBT skills, social skills, and prenatal parent support groups. She also participated in co-creating a weeklong obsessive-compulsive disorder (OCD) intensive treatment program and co-leading intensive selective mutism (SM) and attention-deficit/hyperactivity disorder (ADHD) programs.

Dr. Kostek’s clinical training stems from her Master’s and Doctoral degrees in School Psychology from St. John’s University, as well as clinical experiences across school, community mental health, group private practice, inpatient, and integrated primary care settings.

  • Children
  • Adolescents
  • Adults
  • Individual Therapy
  • Group Therapy
  • Behavioral Parent Training
  • Family Involvement
  • Collaboration Across Settings

Education

St John's University Center for Psychological Services logo

St. John’s University

Dr. Kostek earned her Master’s and Doctoral degrees in School Psychology with a Bilingual emphasis from St. John’s University. Her Doctoral dissertation focused on the identification of anger subtypes in youth.

New York University

Dr. Kostek earned her Master’s degree in Psychology with a concentration in Clinical Psychology from New York University. Her Master’s thesis examined school bullying among children and adolescents with tic disorders.

Cornell University

Holds national certification in school psychology, reflecting specialized training and competency in school-based assessment, intervention, and collaboration with educators and families.

Clinical Experience

Montefiore Medical Center/Albert Einstein College of Medicine

Prior to joining Westchester Anxiety Treatment, Dr. Kostek completed a Postdoctoral Fellowship in Pediatric Psychology through the Behavioral Health Integration Program (BHIP) at Montefiore Einstein. In close collaboration with pediatricians, she provided integrated primary care services, including diagnostic assessments, short-term psychotherapy, safety risk assessments, and preventive parent-child dyadic therapy. As part of the HealthySteps:BRIDGE clinical research team, Dr. Kostek provided individual and group support to perinatal clients, co-presented an award-winning poster on a 6-week prenatal parent support group, and co-authored an article on perinatal mental health during the “fourth trimester”. Additionally, she delivered clinical trainings on infant mental health principles and perinatal interventions to medical and behavioral health providers.

Westchester Jewish Community Services

Dr. Kostek completed her APA-Accredited Internship at Westchester Jewish Community Services (WJCS), receiving specialized training in treating complex trauma, grief intervention, comprehensive Dialectical Behavior Therapy (DBT), and psychoeducational and autism assessment. She also supported a grant-funded initiative to expand trauma-focused services for underserved youth, co-developed and evaluated a grief measure, and provided clinical trainings to mental health therapists on trauma-informed care and foundational Cognitive-Behavioral Therapy (CBT) techniques.

Zucker Hillside Hospital logo

Northwell Health/Zucker Hillside Hospital

Dr. Kostek received clinical training through the Inpatient Track of the Behavioral Health College Partnership (BHCP) at Northwell Health/Zucker Hillside Hospital, completing rotations on young adult and traditional adult psychiatric units. She provided brief individual and group therapy informed by CBT and DBT principles, conducted risk assessment and crisis intervention, and facilitated discharge planning for individuals with severe psychiatric conditions. She collaborated closely with interdisciplinary psychiatric teams and actively contributed to the Psychology Department’s Council for Anti-Racism and Equity (CARE) newsletter.

Pleasantville Union Free School District

Dr. Kostek delivered school-based psychological services at a public high school, supporting students across special education and general education programs. She provided individual counseling, evaluation, crisis intervention, and consultation services, with a focus on bolstering students’ learning, emotion and behavior regulation, executive functioning, communication, and independence. She collaborated with families and school staff on concerns such as school refusal, truancy, and disruptive behaviors, and her psychoeducational evaluations informed Individualized Education Program (IEP) and Section 504 programming.

Cognitive Behavioral Consultants

Dr. Kostek completed clinical training at Cognitive Behavioral Consultants (CBC), a group private practice, providing evidence-based treatment to children, adolescents, adults, couples, and families across a range of presenting concerns, including anxiety, mood, obsessive-compulsive, and disruptive behavior disorders. She delivered CBT, Acceptance and Commitment Therapy (ACT), Parent-Child Interaction Therapy (PCIT), and comprehensive DBT interventions.

Mineola Union Free School District

Dr. Kostek completed school-based training at a public middle school, providing counseling, evaluation, consultation, and crisis intervention services. She delivered individual and group counseling focused on executive functioning, emotional and behavioral regulation, and social skills. She collaborated with staff to implement behavioral interventions and also conducted psychoeducational assessments that informed students’ IEPs and Section 504 Plans.

St. John’s Center for Psychological Services

Dr. Kostek completed practicum training in psychotherapy, psychological assessment, and assessment supervision at St. John’s University’s training clinic. Her assessment training included comprehensive evaluations of children and adults presenting with a range of neurodevelopmental and emotional concerns. She later provided peer supervision in psychoeducational assessment to more junior doctoral students. Her psychotherapy training included provision of CBT to youth presenting with anxiety, depression, and emotion regulation difficulties.

Specialization

Cognitive Behavioral Therapy

Cognitive-Behavioral Therapy (CBT) focuses on the connection between how people think, feel, and act. By noticing unhelpful thought patterns and behaviors, CBT teaches practical skills to replace them with more balanced, realistic perspectives and healthier coping mechanisms. It also includes behavior-focused strategies like gradually facing fears (exposure therapy for anxiety disorders) or building rewarding daily habits (behavioral activation for depressive disorders) to create meaningful emotional change.

Acceptance and Commitment Therapy

Acceptance and Commitment Therapy (ACT) helps individuals build psychological flexibility, which is the ability to stay present and navigate difficult thoughts and feelings without allowing them to control their actions. Rather than struggling to eliminate uncomfortable emotions, ACT focuses on accepting what is out of one’s control and taking intentional actions aligned with personal core values.

Dialectical Behavior Therapy-Informed Treatment

Treatment informed by Dialectical Behavior Therapy (DBT) incorporates selected DBT principles and skills into individual therapy. It is not a comprehensive DBT program and does not include all components of comprehensive DBT, such as weekly skills groups, between-session coaching, and a DBT consultation team. Instead, treatment focuses on practical skill-building in four key areas—mindfulness, distress tolerance, emotion regulation, and interpersonal effectiveness—to help individuals navigate intense emotions, strengthen relationships, and improve their day-to-day quality of life.

Executive Functioning

Executive Functioning skills are the mental tools people use to plan, organize, manage time, focus attention, and regulate their actions. When these skills are difficult to access, everyday tasks like starting projects, staying organized, or managing transitions can feel overwhelming. Therapy targeting executive functioning skills focuses on building personalized strategies and practical routines to help clients boost productivity, reduce frustration, and feel more in control.

Grief

Grief is a natural reaction to painful loss. Most commonly, grief is associated with the death of a loved one, but it can also result from life transitions, like parental separation or moving to a new school. While everyone experiences grief differently, many times it brings a complex and unpredictable mix of emotions, like sadness, anger, shame, confusion, and numbness, that can feel immobilizing or leave individuals feeling disconnected from their daily life. Therapy offers a space to process complex emotions, honor personal experiences, and find a gentle path forward while rebuilding a sense of balance.

Behavioral Parent Training

Behavioral Parent Training (BPT), also known as Parent Management Training (PMT) or Parent Training, equips caregivers with practical, proven strategies to manage challenging childhood behaviors and lower household stress. Even though therapy sessions focus solely on the parents without the child in the room, research shows that shifting caregiver responses is one of the most effective ways to change child behavior. Collaborating with their therapist, parents learn to set clear routines, encourage positive choices with praise, and establish consistent boundaries. These tools improve family communication, strengthen family relationships, and help children build emotional and behavioral regulation skills.

Group Therapy

Group Therapy brings together a small group of individuals led by a therapist or therapists to work through shared challenges. Groups provide an opportunity to learn and practice practical skills in a supportive environment while receiving encouragement and validation from others. For many people, connecting with others who have similar experiences can be reassuring and can help them feel less alone.

Anxiety Disorders

Anxiety can feel overwhelming and often leads people to avoid situations, places, or conversations that trigger their stress. Anxiety Disorders—including Generalized Anxiety Disorder, Social Anxiety Disorder, Panic Disorder, Specific Phobias, and Separation Anxiety Disorder—can significantly interfere with functioning in daily life. Exposure Therapy helps clients break the cycle of avoidance, build confidence, and learn effective tools to manage anxiety symptoms.

Obsessive-Compulsive Disorder

Obsessive-Compulsive Disorder (OCD) is characterized by unwanted, intrusive thoughts or worries (obsessions) and repetitive behaviors or mental routines (compulsions) performed to reduce distress. These cycles can consume significant time and energy. Exposure and Response Prevention (ERP), a specialized therapy, helps clients learn to tolerate uncertainty, break the cycle of compulsions, and respond to intrusive thoughts with greater flexibility and peace of mind.

Depression

Depression is more than feeling sad; it can cause persistent fatigue, low motivation, difficulty concentrating, and a loss of interest in previously enjoyed activities. Therapy helps individuals break out of negative thought spirals and re-engage with life at a manageable pace to restore energy, hope, and connection.