About Nicole
Nicole Ficano is a Licensed Mental Health Counselor (LMHC) based in New York. She uses a warm, person-centered stance to help people manage stress, anxiety, depression, and the disruptions that come from trauma or relationship strain. She focuses on building self-compassion and clearer communication.
Sessions aim to make coping skills practical and usable in daily life. Nicole helps clients notice patterns that keep them stuck and try different ways of responding.
Background and approach
Her work draws on approaches like cognitive behavioral tools and mindfulness practices to reduce distress and increase steady functioning. She also integrates dialectical ideas to help people tolerate strong emotions without acting on them impulsively. Nicole pays attention to attachment and how early relationships shape current difficulties.
She supports people facing grief, addiction, mood disorders, and the particular frustrations that come with attention and focus differences such as ADHD. Over nine years of clinical experience inform a straightforward, supportive style. Sessions are designed to be collaborative - the therapist and client set goals together and track progress.
People meet by phone, video, live chat, or text-based messaging depending on what fits their life. Clients come for a range of concerns from career stress and parenting strain to intimacy issues and obsessive thoughts. The focus is on practical steps, steady emotional work, and helping people regain a sense of control and purpose.
Therapeutic approaches and how they work online
Nicole blends client-centered practice with cognitive behavioral techniques to make sessions both supportive and practical. Client-Centered Therapy focuses on listening and helping people feel understood so they can describe what matters most. Cognitive Behavioral Therapy (CBT) breaks problems into thoughts, feelings, and actions and teaches concrete strategies to change unhelpful patterns.She also uses elements of dialectical behavior therapy to help people tolerate strong feelings and reduce impulsive reactions. These methods are useful for anxiety, mood swings, compulsive behaviors, relationship conflict, and difficulties with focus or attention.
Finding the right approach happens together. The therapist will talk with each person about goals, try techniques, and adjust the plan based on what helps. That collaborative process means the work is tailored to your needs rather than fixed from the start.
Online sessions are offered by video calls, phone, live chat, or text-based messaging to match daily life. Video is good for face-to-face conversation and visual cues. Phone sessions can fit a break at work or require less bandwidth. Live chat or text sessions work for brief check-ins, homework review, or when writing feels easier than speaking. These options make therapy more flexible for different schedules and comfort levels.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Career difficulties
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Drug and alcohol addiction
- Eating disorders
- Family conflicts
- Family problems
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 9 years
- Licensed
- New York
- Languages
- English
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