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LCSW, LCSW-R

Patricia Nelson, LCSW, LCSW-R

  • Experience25 years
  • LocationNew York
  • Focus areasADHD, Stress and Anxiety, and Addictions
  • Therapy approachesClient-Centered Therapy and Cognitive Behavioral Therapy (CBT)
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About Patricia

Patricia Nelson is a licensed clinical social worker with 25 years of experience providing psychotherapy and life coaching. She practices from a person-centered stance that emphasizes respect, sensitivity, and compassionate collaboration, blending practical techniques from cognitive-behavioral work with skills-based strategies drawn from dialectical and mindfulness approaches.

Background and approach

Patricia’s background includes helping people manage stress, anxiety, depression, addiction, relationship struggles, trauma and abuse, and ADHD, as well as concerns like grief, intimacy, and self-esteem. Her style is warm and interactive, and she adapts conversation and treatment plans to match each client’s needs and goals.

Over a quarter century she has also worked with issues related to parenting, career transitions, eating and sleeping problems, bipolar disorder, compassion fatigue, and a range of attachment and personality concerns. Patricia holds New York licenses LCSW and LCSW-R and integrates motivational interviewing and narrative elements when useful to support change.

Clients who engage with her can expect a collaborative process that focuses on practical coping skills alongside deeper exploration of patterns and life stories. She frames therapy as an empowering step toward clearer priorities and more effective ways of managing life’s challenges.

Using Evidence-Based Approaches in Online Therapy

Patricia commonly integrates client-centered therapy and cognitive-behavioral therapy (CBT) into her online practice. Client-centered therapy focuses on building a respectful, nonjudgmental relationship and helps clients explore their values and goals while fostering self-directed growth. CBT provides concrete tools to identify and change unhelpful thoughts and behaviors, which can be useful for anxiety, depression, ADHD-related challenges, and stress management.

She also draws on dialectical behavior therapy (DBT) techniques when emotional regulation and interpersonal effectiveness are priorities; DBT teaches practical skills for managing intense emotions and improving communication. Selecting the right mix of approaches is treated as a collaborative process - the therapist will work with each person to assess needs, set goals, and adjust methods as therapy progresses to find the best fit for preferences and objectives.

Online therapy with Patricia uses flexible session formats such as video calls, phone sessions, live chat, or text-based messaging to fit different schedules and comfort levels. These options make it easier to maintain continuity of care while balancing work, family, and other commitments, and they allow licensed professionals to deliver skills training, structured CBT work, and supportive, client-centered dialogue in ways that match individual lifestyles.

Frequently asked questions

What concerns does she commonly address?
She works with a broad range of issues including stress, anxiety, depression, addictions, relationship and intimacy problems, trauma and abuse, grief, ADHD, and related life changes.
What is her therapeutic style and approach?
Her approach is collaborative and warm, blending client-centered care with cognitive-behavioral techniques, dialectical strategies, mindfulness, motivational interviewing, and narrative elements to tailor treatment to each person.
How much clinical experience does she have?
She brings 25 years of experience as a psychotherapist and life coach working with a wide variety of mental health and life concerns.
Where is she licensed and located?
She is licensed in New York and holds the credentials LCSW and LCSW-R with license number NY LCSW 078047, NY LCSW-R 078047.
Does she offer services in other languages or to international clients?
Services are provided in English and she is not currently accepting international clients.
In what formats are sessions available?
She offers multiple online session formats including video calls, phone sessions, live chat, and text-based messaging to accommodate different needs and preferences.
How are fees and payment structured?
Fees vary by location and therapist availability; sessions use a subscription model that can be canceled at any time.
What should I do to begin working with her?
To get started select the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist’s availability.

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

AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAutism and Asperger SyndromeAvoidant personalityBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFertility issuesFirst responder issuesForgivenessGuilt and shameHIV / AIDSHoardingHospice and end-of-life counselingImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSmoking / vaping cessationSocial anxiety and phobiaTrichotillomaniaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

25+ years

Licensed

New York, California, New York

Languages

English

What Patricia can help with

Patricia Nelson works with clients on stress and anxiety, addictions, relationship issues, trauma and abuse, and depression.

How Patricia approaches therapy

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

Experience and training

Patricia is a Licensed Clinical Social Worker practicing in New York, with 25 years of clinical experience.

Therapy style

Patricia aims to support and empower you.