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Nicole Ficano

Therapist profile

Nicole Ficano, LMHC

New York

Licensed LMHC - Family and parenting focus

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About

  • CBT tools
  • DBT skills
  • Mindfulness practice

About Nicole

Nicole Ficano is a New York Licensed Mental Health Counselor (LMHC) with nine years of clinical experience helping adults manage stress, anxiety, addiction, grief, and parenting concerns. She works with individuals who are dealing with relationship strain, trauma and abuse, mood disorders, and life transitions. Sessions focus on practical skills and clearer communication rather than labels or jargon.

Nicole uses client-centered methods to listen and create a plan with each person. She draws on cognitive behavioral techniques to identify unhelpful thoughts and DBT strategies to teach emotion regulation and distress tolerance. Mindfulness and existential ideas are also woven in to help people find meaning and steady their attention.

In practice she helps people notice patterns from attachment histories that affect current relationships. That can mean talking through boundaries, codependency, or struggles around intimacy and trust. She also supports adults facing parenting strain, caregiving fatigue, or the emotional fallout of major life changes.

Sessions typically include clear, concrete tools to try between meetings. Nicole emphasizes learning skills for calming anxiety, managing urges tied to addiction, and improving everyday communication. She also works on sleep and eating concerns linked to mood and stress.

Her style is straightforward and focused on what clients want to change. People who prefer practical skills, short experiments, and checking progress each week often find this approach useful. Nicole offers services in English and practices in New York.

How sessions work

How her approaches translate to online sessions

Client-Centered Therapy focuses on listening, reflection, and helping people set their own goals. Online, this means sessions start with questions about what matters most and proceed at the client’s pace. Cognitive Behavioral Therapy (CBT) teaches ways to spot and change unhelpful thoughts and behaviors; in remote sessions that can look like short experiments, homework, and concrete steps to test between meetings. Dialectical Behavior Therapy (DBT) offers skills for regulating intense emotions and tolerating distress, which can be practiced in-session and rehearsed during the week.

Finding the right mix of approaches is part of the work. The therapist and client will discuss goals, try methods, and adjust what they use based on what helps. That makes sessions collaborative and focused on real-life change rather than fitting a single label.

Session-format details are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit meetings into a busy day, allow for brief check-ins when needed, and reduce travel time. They also make it possible to try homework between meetings and bring real situations into conversation without promising a particular service.

Areas of focus

Areas of expertise

Primary focus

Stress, AnxietyAddictionsRelationship issuesTrauma and abuseDepression

Also works with

LGBTFamily conflictsGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesCodependencyCommunication problemsDrug and alcohol addictionFamily problemsGuilt and shameIsolation / lonelinessMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPost-traumatic stressSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Existential TherapyMindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

9+ years

Listed in

New York

Languages

English

Questions

Frequently asked questions

What kinds of problems does she address?

She works with stress, anxiety, addiction, depression, trauma, relationship strain, parenting concerns, grief, and related issues listed in her specialties.

What is her therapeutic style like?

Her style is client-centered and practical, using clear skills from CBT, DBT, and mindfulness to help people change patterns and manage emotions.

How much experience does she have?

She has nine years of clinical experience working with adults on mood, trauma, addiction, and relationship challenges.

What credential does she hold and where is she based?

She is a New York Licensed Mental Health Counselor (LMHC) and practices in New York.

Does she offer sessions in other languages?

Sessions are offered in English.

Can people outside the US work with her?

She does not accept international clients at this time.

How are sessions billed and what does cost depend on?

Cost varies with location and sessions use a subscription that can be canceled at any time; specific rates depend on the plan chosen.

How do I begin working with her?

Start by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session.

Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.

Online talk therapy is not emergency care. If anyone is in danger, use the crisis numbers.

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Nicole Ficano

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