Nicole Ficano, LMHC - Therapist in New York

About Nicole

Nicole Ficano is a licensed mental health counselor who focuses on helping people manage stress, anxiety, and relationship concerns. She uses straightforward, practical techniques to help clients build self-compassion and clearer communication. Nicole practices from New York and brings nine years of experience to each session.

She keeps sessions grounded and goal-oriented while staying warm and nonjudgmental. Nicole pays close attention to how past experiences shape present reactions. She helps people notice patterns, try new responses, and practice small skills between sessions.

Background and approach

Nicole blends client-centered listening with evidence-based tools. She often uses cognitive behavioral therapy to shift unhelpful thoughts and DBT skills to manage intense emotions. Mindfulness practices and existential reflection help clients clarify values and cope with life changes.

Common issues she addresses include depression, trauma and abuse, addiction concerns, grief, sexual and intimacy questions, parenting stress, and sleep or eating problems. Nicole also supports people facing career strain, ADHD-related challenges, compassion fatigue, and mood variability. She describes the work as collaborative and paced to each person.

Sessions typically focus on one or two practical goals at a time. Nicole aims to leave clients with clearer choices and tools they can use in daily life.

Approaches that translate well to online therapy

Client-centered therapy focuses on listening and supporting each person without judgment. In practice this means sessions begin with the therapist asking about priorities and following the client's lead, which can help with stress, relationship questions, and parenting concerns.

Cognitive behavioral therapy, or CBT, teaches simple skills to notice and change thought patterns that worsen mood or anxiety. It often includes short exercises to try between sessions, which work well over video or messaging because they are easy to share and review.

Dialectical behavior therapy, DBT, provides concrete tools for managing strong emotions and improving communication. Skills like distress tolerance and emotion regulation can be taught in-session and practiced during daily life, making DBT a practical fit for remote work.

Finding the right approach is part of the process. Nicole will collaborate with each person to decide which methods suit their goals, needs, and preferences, and she adjusts the plan as progress unfolds.

Online sessions are offered by video, phone, live chat, or text-based messaging to make therapy more flexible. These formats allow people to meet from home, fit sessions around busy days, and use short messaging for quick check-ins between appointments. The variety of options helps match therapy to a client's schedule and comfort level.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Dialectical Behavior Therapy (DBT)

Concrete skills for riding out strong emotion, tolerating distress, and handling relationships without things escalating. The skills are practised in daily life, so between-session support by message or phone fits naturally.

Frequently asked questions

What kinds of concerns can be addressed here?

Nicole works with a wide range of issues including stress, anxiety, depression, trauma and abuse, addictions, grief, parenting challenges, intimacy-related issues, and mood disorders.

What is Nicole's general therapy style?

Her style is warm and collaborative, combining listening with practical techniques from cognitive behavioral therapy, dialectical behavior therapy, and mindfulness to build skills and shift patterns.

How much clinical experience does she have?

Nicole has nine years of professional experience working with people facing emotional and life-transition challenges.

What are her credentials and where is she based?

She is a licensed mental health counselor, NY LMHC 010149, and practices from New York.

Which languages and international options are available?

Sessions are offered in English, and she is not taking international clients at this time.

What session formats are offered?

Therapy is available via video calls, phone sessions, live chat, and text-based messaging to fit different needs and schedules.

How does payment and cost work?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

How do I begin therapy with her?

Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to therapist availability.

Specialties and expertise

Top specialties

Stress, Anxiety
Addictions
Relationship issues

Also works with

Therapeutic approaches

Experience: 9 years
Licensed: New York
Languages: English

Next step

Talk to Nicole

Takes a few minutes
Nothing to set up just to look
Stop at any point

Book with Nicole