Meet Your Therapist
Dominick Agosti, LCSW
Dominick is a Licensed Clinical Social Worker with over 10 years of experience supporting individuals through a wide range of mental health challenges. He has provided therapy in diverse settings and brings a compassionate, client-centered approach to his work.
Dominick believes that meaningful change happens within the safety of a trusting therapeutic relationship. He works collaboratively with clients, drawing on their unique strengths, values, and lived experiences to foster resilience and personal growth. With a warm and empathetic presence, Dominick helps clients navigate difficult emotions and internal struggles with greater flexibility and self-compassion.
His goal is to empower individuals to take purposeful steps toward living a life that feels rich, fulfilling, and aligned with what matters most to them.
What we do at Mid River Counseling
Reaching out for support is a meaningful (and sometimes difficult) decision. Whether you’re feeling overwhelmed by anxiety, navigating a major life transition, struggling with relationships, or simply feeling stuck, providers at Mid River Counseling are here to help.
People seek therapy for many different reasons — to find relief, gain clarity, heal from the past, or move forward with intention. Whatever brought you here, you’ve already taken the first step toward meaningful change — and you’ve come to the right place.
Mid River Counseling offers professional, compassionate therapy in a format that fits your life. With our convenient telehealth option, you can access care from the comfort and privacy of your own space anywhere in Pennsylvania (PA) — no commute, no waiting room, just focused time for you.
We’re here to walk with you through the hard stuff, to celebrate the progress, and to help you reconnect with your sense of strength, purpose, and possibility.
Welcome. And we are glad you are here.
* New to therapy? Start with our FAQ page
At Mid River Counseling we specialize in compassionate and effective therapy for individuals aged 14 and up who are navigating life’s challenges—from anxiety and depression to relationship struggles, trauma, ADHD, sleep concerns, and more. Our skilled clinicians provide personalized treatment that fits your life, including secure telehealth sessions for added convenience and privacy. Whether you’re seeking relief, clarity, or a renewed sense of purpose, you’re not just getting therapy, you’re gaining a partner in your growth. Take the first step today—your journey toward healing and purposeful living begins here.
Areas Of Focus
We provide therapy to individuals aged 14 and older, navigating a wide range of concerns, including:
Take the First Step—Let’s Navigate This Together.
Contact us
*If you are experiencing a mental health crisis, please contact your local crisis intervention team, call or text the Suicide and Crisis Lifeline at 988, contact emergency services by dialing 911, or go to your nearest emergency department for immediate evaluation and support.
