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LMFT

Katharine “Katy” Nicholson, LMFT

  • Experience10 years
  • LocationNew York
  • Focus areasADHD, Relationship, and Family
  • Therapy approachesAttachment-Based Therapy and Client-Centered Therapy
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About Katharine

Katharine “Katy” Nicholson is a licensed marriage and family therapist (LMFT) who blends relational and evidence-based therapies to address complex life challenges.

Background and approach

She draws on ten years of clinical experience helping people navigate relationship strains, family dynamics, trauma, mood concerns, and issues such as ADHD, anxiety, depression, parenting difficulties, grief, and substance-related problems. Her style emphasizes attentive listening and practical problem-solving to help clients feel heard and find workable strategies.

Katy often integrates attachment-focused perspectives with cognitive and skills-based techniques, tailoring sessions to the needs of individuals and families. She has a history of working in outpatient community mental health and brings creativity to sessions, using approaches that may include play-based methods, mindfulness, and experiential tools when appropriate.

Clients can expect a warm, persistent collaborative stance aimed at improving communication, building coping skills, and resolving recurring patterns that cause distress. Katy practices in New York and offers online modalities to make therapy accessible for those seeking ongoing support.

Approaches that translate well online

Attachment-Based Therapy focuses on understanding how early and current relationships shape emotional needs and patterns. In practice this approach helps identify recurring dynamics in relationships and supports developing more supported ways of connecting and responding. Cognitive Behavioral Therapy (CBT) provides clear, skill-oriented strategies to challenge unhelpful thoughts and change behaviors, which can be useful for anxiety, depression, and managing ADHD-related patterns. Emotionally-Focused Therapy (EFT) aims to deepen emotional awareness and improve connection in relationships by exploring feelings and interaction cycles that maintain distress.

Choosing the right approach is a collaborative process. The therapist will work together with the client to assess goals, preferences, and the most helpful methods, adapting techniques over time as needs evolve. That collaborative stance helps ensure the work aligns with each person’s situation and desired outcomes.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging, making it easier to fit sessions into busy schedules or when in-person meetings are impractical. These formats support ongoing skill practice, check-ins between appointments, and consistent access to a licensed professional from different locations, while allowing the therapist to use interactive exercises, mindfulness practices, and structured interventions adapted for remote delivery.

Frequently asked questions

What kinds of concerns does this therapist help with?
Katy works with a wide range of issues including relationship and family problems, trauma and abuse, parenting challenges, stress, anxiety, depression, bipolar disorder, grief, addictions, ADHD, and intimacy-related issues.
What is her therapeutic approach and style?
She combines attachment-based perspectives with client-centered warmth and evidence-based techniques like CBT and DBT to offer practical tools while attending to relational patterns and emotional experience.
How much clinical experience does she have?
Katy has been practicing for ten years and has spent significant time in outpatient community mental health settings, bringing experience with families and individuals across varied concerns.
Where is she licensed and located?
She is a Licensed Marriage & Family Therapist (LMFT) licensed in New York with license number NY LMFT 001066 and provides services based in New York.
Does she offer services in other languages or accept international clients?
Sessions are offered in English. She is not currently accepting international clients.
What session formats are available?
Therapy is offered through video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.
How are fees handled for sessions?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
To start, select the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Relationship issuesFamily conflictsTrauma and abuseParenting issues

Also works with

Stress, AnxietyAddictionsLGBTGriefIntimacy-related issuesEating disordersSleeping disordersAnger managementSelf esteemCareer difficultiesBipolar disorderDepressionCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBlended family issuesBody imageCommitment issuesCommunication problemsDivorce and separationDomestic violenceEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Imago Relationship TherapyMindfulness TherapyMotivational InterviewingPsychodynamic TherapyTrauma-Focused Therapy

Experience

10+ years

Licensed

New York

Languages

English

What Katharine can help with

Katharine “Katy” Nicholson works with clients on relationship issues, family conflicts, trauma and abuse, and parenting issues.

Katharine works with families and individuals.

Katharine works with parents.

Katharine works with others on communication skills and how to nurture difficult relationships.

How Katharine approaches therapy

Katharine's clinical approaches include Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), Imago Relationship Therapy, Mindfulness Therapy, and Motivational Interviewing.

Experience and training

Katharine is a Licensed Marriage and Family Therapist practicing in New York, with 10 years of clinical experience.