She specializes in evaluating and treating children, adolescents and young adults with mood and anxiety disorders, as well as chronic stress and trauma, and is a clinician within the Selective Mutism Service. She has training in providing cognitive-behavioral therapy (CBT) and mindfulness-based strategies to individuals who are diagnosed with depression, overall difficulties with mood and behavioral dysregulation, generalized anxiety disorder, selective mutism, specific phobias, and obsessive-compulsive disorder. Dr. Macchia is also intensively trained in dialectical behavior therapy (DBT), Dialectical Behavior Therapy – Prolonged Exposure (DBT-PE), and Dialectical Behavior Therapy for Children (DBT-C). She has a special interest in helping individuals with co-occurring mood and anxiety disorders.