LMHC

Nicole Ficano, LMHC

Experience9 years
LocationNew York
Focus areasADHD, Stress and Anxiety, and Addictions
Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)

Check the available next steps for working with Nicole online.

About Nicole

Nicole Ficano is a licensed mental health counselor (LMHC) based in New York who uses client-centered, cognitive behavioral, and mindfulness-informed practices to help people navigate emotional challenges. She emphasizes self-compassion and practical coping strategies while addressing anxiety, depression, trauma, relationship dynamics, and attention-related concerns such as ADHD.

Background and approach

Her work draws on nine years of clinical experience to tailor interventions to each person's situation. Nicole creates a respectful, nonjudgmental environment where clients can examine attachment patterns, process grief and past hurt, and develop better communication skills.

She integrates techniques from dialectical behavior therapy and existential approaches when a focus on emotional regulation, values, and meaning supports recovery. Additional areas she addresses include addiction, anger, sleep and eating disturbances, mood disorders, and issues around intimacy and self-esteem.

Sessions aim to build resilience and practical tools - ranging from cognitive restructuring to mindfulness practices - so clients can manage stressors and life transitions more effectively. Nicole works collaboratively with clients to set goals and adjust methods as needs evolve, drawing on her LMHC training and nearly a decade of practice in New York.

Approach-Focused Care Delivered Online

Nicole integrates client-centered therapy and cognitive behavioral therapy to guide online work in ways that are practical and attuned to a person’s needs. Client-centered therapy emphasizes empathy and collaboration, helping people feel heard and respected while they explore goals and values. Cognitive behavioral therapy offers structured strategies to identify and change unhelpful thinking and behavior patterns, which is useful for anxiety, mood concerns, and attention-related struggles.

Finding the right approach is part of the therapeutic process and is determined collaboratively. The therapist will work with clients to match methods to their goals, drawing on mindfulness and DBT techniques when emotional regulation or distress tolerance skills are helpful. This flexible stance lets treatment shift as challenges evolve and priorities change.

Online therapy with this practice is offered via video calls, phone sessions, live chat, and text-based messaging to increase accessibility and convenience. These options make it easier to fit sessions into busy schedules, maintain continuity during life transitions, and access consistent support from a licensed professional regardless of location within the region served.

Frequently asked questions

Which concerns does Nicole commonly address?

The practice covers a wide range of issues including stress, anxiety, depression, trauma and abuse, relationship and intimacy concerns, addictions, grief, ADHD, and mood disorders.

What therapeutic style can I expect in sessions?

Therapy blends client-centered care with evidence-based methods like CBT and DBT, along with mindfulness and existential perspectives to support emotional regulation and personal meaning.

How much clinical experience does the therapist have?

Nicole brings nine years of professional experience working with a variety of mental health and behavioral concerns in New York.

What are the clinician's credentials and practice location?

The clinician is licensed as an LMHC with NY LMHC 010149 and practices in New York.

Are sessions available in other languages or to international clients?

Sessions are offered in English only, and international clients are not currently accepted.

Which session formats are offered for online work?

Available formats include video calls, phone sessions, live chat, and text-based messaging to suit different preferences and schedules.

How is cost handled for therapy with this clinician?

Pricing varies by location and therapist availability; sessions operate through a subscription model that can be canceled at any time.

What steps are needed to begin therapy?

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

Stress, Anxiety AddictionsRelationship issuesTrauma and abuse Depression

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 shame Isolation / loneliness Mood disordersNarcissismObsessions, compulsions, and OCD Panic disorder and panic attacksPersonality disordersPhobiasPost-traumatic stressSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issuesWorkplace issues Young 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

Licensed

New York

Languages

English

What Nicole can help with

Nicole Ficano works with clients on stress and anxiety, addictions, relationship issues, trauma and abuse, and depression.

Nicole works with individuals navigating complex emotional landscapes.

Nicole works with clients with anxiety, depression, and trauma.

How Nicole approaches therapy

Nicole's clinical approaches include Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Existential Therapy, Mindfulness Therapy, Motivational Interviewing, Psychodynamic Therapy, and Solution-Focused Therapy.

Experience and training

Nicole is a Licensed Mental Health Counselor practicing in New York, with 9 years of clinical experience.