Riley Malihot, LCSW

Riley Mailhot

Licensed Clinical Social Worker, LCSW

Accepting new clients for daytime appointments



Children (<12)
Teenagers (13 - 18)
Young adults / college students (18 - 24)


Mon: 9:00am-6:00pm
Tue: 9:00am-6:00pm
Wed: 9:00am-6:00pm
Thu: 9:00am-6:00pm
Fri: 9:00am-6:00pm
Sat: Closed
Sun: Closed

Specialties & expertise

  • Gender identity

  • LGBTQIA and sexuality topics

  • Anxiety

  • Depression

  • ADHD

  • Relationships

Professional statement

Riley Mailhot is a Licensed Clinical Social Worker and member of the group practice East Cost Mental Wellness in Providence, RI. They specialize in supporting individuals as they navigate, question, or transition in their gender and sexual identities. Riley also welcomes couples of all identities and relationship structures into their practice.

Riley provides a safe space to help clients explore how their unique identities influence their relationships and self-understanding. Riley uses evidence-based treatment approaches to provide clients with highly individualized, goal-oriented care. Using skill-building approaches such as Cognitive Behavioral Therapy (CBT) and mindfulness practices, they collaborate with their clients to understand how the past plays a role in their present and future. 

Riley has been working with the LGBTQIA community and HIV+ population for over a decade, with notable experience working with trans youth and couples navigating the impact of a partner's substance use on the relationship. They received their Master’s in Social Work from Rhode Island College, and currently offer sessions for individual adults, adolescents, families, and groups.


Transgender & gender identity topics – Exploring gender identity, including trans, non-binary, and gender variant identities; support throughout the process of transition
LGBTQIA and sexuality topics – Exploring topics of sexuality, gender, and identity; coping with discrimination and oppression; navigating relationship, family, and cultural challenges
Anxiety – Coping with excessive worry, nervousness, or stress; intense discomfort in social  settings (social anxiety); sudden and intense feelings of panic (panic disorder)
Depression – Providing support and promoting healing through hopelessness, low motivation and energy, sadness, irritability, sleep disturbance, and loss of interest and pleasure in life
ADHD (Attention-deficit/hyperactivity disorder) – Skill-building and support around organizational challenges, distracted attention, procrastination; building and maintaining healthy routines and structure

General expertise

Bipolar disorder – Developing coping and preventive strategies to stabilize extreme mood swings, including manic and depressive episodes; increasing effective strategies to regulate emotions and maintain a healthy daily routine
Loss and grief – Emotionally preparing for the anticipated passing of a loved one; managing feelings and reactions to a death or loss of significance; support during the process of healing and acceptance
Post-traumatic stress disorder (PTSD) – Healing painful experiences and memories from the past
Relationships – Understanding one’s wants and needs in relationships; exploring patterns of interaction, addressing concerns, and strengthening satisfaction in relationships and dating
Self-esteem – Cultivating self-compassion, assertiveness, and confidence; developing ways to reduce suffering, anxiety, social withdrawal, and self-neglect
Stress management – Strengthening effective ways of coping with the stress of life and change; managing expectations of self and others


  • Beacon Health

  • Neighborhood Health

Out-of-pocket fees

  • Initial/ongoing sessions: $150/session (50min)

Sliding scale: A sliding scale is offered to clients who need a reduced fee to receive therapy. 

Therapist's note: Riley can provide you with paperwork for your insurance company if you are seeking out-of-network reimbursement.

Message to clients

"Life has many challenges, and sometimes we need someone to listen and offer insight. My practice uses many different theories and treatment modalities to help you find the right fit so that you can move forward in your life. Together we can embark on a journey that will highlight what is going right in your life as well as define and explore areas in need of growth and change. I want to commend you on taking the first step in this journey by yourself. Should you choose me as your therapist, together we can map a better future."

Treatment approaches

Acceptance and Commitment Therapy (ACT) Acceptance and Commitment Therapy (ACT) is a form of cognitive behavioral therapy that uses mindfulness and behavioral activation to help people learn strategies to live life more in the present, more focused on important values and goals, and less focused on painful thoughts, feelings and experiences. (learn more)
Cognitive Behavioral Therapy (CBT)In cognitive behavioral therapy, you work with a therapist in a structured way, attending a limited number of sessions. Cognitive behavioral therapy helps you become aware of inaccurate or negative thinking, so you can view challenging situations more clearly and respond to them in a more effective way. (learn more)
Dialectical Behavioral Therapy (DBT) Dialectical Behavior Therapy (DBT) is a cognitive behavioral treatment that often used to treat disorders such as substance dependence, depression, post-traumatic stress disorder (PTSD), eating disorders, and particularly chronic borderline personality disorder. It teaches skills such as mindfulness, pain tolerance, interpersonal effectiveness, and emotional regulation. (learn more)
Family SystemsFamily systems theory views the family as an emotional unit and uses systems thinking to describe the complex interactions in the unit. Family system therapy may be used to address conflict stemming from the family unit by working on a client's ability to maintain individuality while maintaining emotional contact with the group. (learn more)
Interpersonal Therapy (IPT)Interpersonal Therapy (IPT) is a time-limited psychotherapy that focuses on interpersonal issues, which are understood to be a factor in the genesis and maintenance of psychological distress. The targets of IPT are symptom resolution, improved interpersonal functioning, and increased social support. (learn more)
Mindfulness PracticesMindfulness practices include but are not limited to developing awareness, attention, and remembering. In mindfulness-informed therapy, clients develop tools to become aware of what is occurring within and around them, so they can begin to untangle from mental preoccupations and difficult emotions. Self-acceptance and compassion are also core elements of mindfulness-informed therapy. (learn more)

Education and work experience

East Coast Mental Wellness, 2018 - Present
High Point Treatment, 2017 - 2018
SouthBay Community Services, 2016 - 2017

Rhode Island College, MSW, 2016