About Nicholas
Nicholas Pantages is a Licensed Clinical Social Worker (LCSW) in Missouri with seven years of experience. He uses practical, evidence-based approaches to help people facing depression, anxiety, stress, grief, and life transitions. Nicholas keeps sessions straightforward and focused on real steps people can try between meetings.
Nicholas often draws on Cognitive Behavioral Therapy (CBT) and Dialectical Behavior Therapy (DBT) to help clients change unhelpful thoughts and build coping skills. He also uses Eye Movement Desensitization and Reprocessing (EMDR) when trauma memories are part of the problem.
Background and approach
Sessions emphasize collaboration and the client’s own strengths. He helps people tackle mood disorders, work through relationship and interpersonal concerns, and manage the challenges that come with aging. Nicholas offers support for issues such as addictions, sleep troubles, parenting strain, and compassion fatigue.
He also addresses questions around self-esteem, career stress, and navigating big life changes. Nicholas aims to create a calm, respectful space where clients set goals and practice new ways of responding to problems. He focuses on building rapport and finding small, practical changes that add up over time.
Progress is framed as steady steps rather than overnight fixes. People who want a down-to-earth approach that mixes skill-building with acceptance work may find his style helpful. Nicholas encourages collaboration - he and the client plan tasks, review results, and adjust direction as needed.
Therapeutic approaches adapted for online care
Nicholas commonly uses Cognitive Behavioral Therapy and Dialectical Behavior Therapy in online sessions. CBT focuses on identifying and changing patterns of thinking and behavior that contribute to distress; it often involves homework and practice between sessions to improve mood and reduce anxiety. DBT emphasizes building emotion regulation, distress tolerance, and interpersonal skills, which can be taught through guided exercises and real-time coaching during appointments.EMDR is also part of his toolkit for trauma-related concerns; when appropriate, Nicholas adapts EMDR techniques to virtual formats to help process difficult memories in a paced, step-by-step way. He will discuss whether EMDR fits a client's needs and explain how it would be conducted online before proceeding.
Finding the right approach is a collaborative process. Nicholas works with each person to match methods to their goals, preferences, and life context. He reviews progress regularly and adjusts techniques based on what is working and what is not.
Offering video calls, phone sessions, live chat, and text-based messaging brings flexibility to therapy. Video lets the therapist and client talk face-to-face; phone sessions can be easier when bandwidth is limited or for shorter check-ins; live chat and text messaging allow for quick check-ins, coaching between sessions, and ongoing reflection. These options make it easier to fit therapy into a busy life and keep momentum between meetings.
Questions people ask
What kinds of concerns does Nicholas help with?
How would you describe his therapeutic style?
What is his clinical background and experience?
Where is Nicholas licensed to practice?
Which languages are supported in sessions?
What session formats are available?
How does payment and cost work?
How do I start working with him?
What this therapist works with
Most often
- Stress, Anxiety
- Family conflicts
- Grief
Also listed
- Addictions
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Avoidant personality
- Bipolar disorder
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Coaching
- Commitment issues
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Emptiness
- Fatherhood issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Isolation / loneliness
- LGBT
- Life purpose
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Workplace issues
Therapeutic approaches
- Experience
- 7 years
- Licensed
- Missouri
- Languages
- English
We will earn a commission if you sign up through our link, at no cost to you.