About Nicole
Nicole Ficano is a licensed mental health counselor in New York with nine years of clinical experience. She focuses on helping people who feel overwhelmed by anxiety, stress, or significant life changes. Nicole offers a calm, nonjudgmental presence and practical ways to handle difficult moments.
Her work often centers on improving communication and building self-compassion. She helps clients notice patterns that keep them stuck, such as attachment issues or avoidance related to phobias and panic.
Background and approach
Sessions emphasize concrete skills to manage mood, cravings, or intrusive thoughts while also addressing relationship strain and grief. Nicole uses straightforward, evidence-informed methods that people can apply between sessions. She integrates client-centered principles to make sure each person guides the pace and focus of work.
Cognitive behavioral techniques are used to change unhelpful thinking and behaviors, while mindfulness strategies support stress reduction and emotional regulation. She also incorporates ideas from dialectical behavior therapy to teach distress tolerance and emotion regulation skills. Existential perspectives are woven in when clients want to explore meaning, identity, and life direction.
The result is a flexible approach tailored to real-life needs like parenting stress, career transitions, or coping with loss. Nicole emphasizes collaboration and clear goals. She works with people facing addictions, mood disorders, trauma, and phobias, among other concerns.
Her aim is to help clients build lasting coping skills and reconnect with what matters to them.
Approach-focused online therapy and practical skills
Nicole blends client-centered listening with cognitive behavioral techniques to make therapy useful and goal oriented. Client-centered therapy means the therapist follows the person’s lead, reflects their experience, and focuses on what matters most to them. Cognitive behavioral therapy (CBT) offers practical tools to identify and change unhelpful thoughts and behaviors, which can help with anxiety, phobias, and mood problems.Nicole also uses dialectical behavior therapy (DBT) skills when emotion regulation or strong reactions are getting in the way. DBT provides step-by-step strategies for tolerating distress, managing intense emotions, and improving interpersonal effectiveness. Choosing which approaches to use is a collaborative process; the therapist and client review goals and try methods that fit the client’s needs and preferences.
Online therapy offers flexibility in how sessions happen. Video calls allow face-to-face work and skill practice, phone sessions can be easier when bandwidth is limited, live chat is useful for brief check-ins, and text-based messaging supports ongoing coaching between sessions. These options help people fit therapy into busy schedules, manage symptoms from home or work, and keep momentum between appointments.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Abandonment
- ADHD
- Aging and geriatric issues
- Anger management
- Attachment issues
- Bipolar disorder
- Career difficulties
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Drug and alcohol addiction
- Eating disorders
- Family conflicts
- Family problems
- Grief
- Guilt and shame
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 9 years
- Licensed
- New York
- Languages
- English
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