About E.
E. Troy Nielsen helps people who are worried about stress, anxiety, addictions, low self-esteem, and depression. He focuses on practical steps that make daily life easier.
He aims to create a respectful, compassionate space where people feel heard. Taking a first step can feel hard, and he offers steady support through that start. He adapts conversations and plans to fit each person's situation.
That might mean working on coping skills for anxiety or concrete strategies to reduce substance use.
How E. works
He also addresses relationship strain, communication problems, and issues around commitment and codependency. Sessions aim to break problems into manageable tasks and build small, sustainable changes. Across 20 years of practice he has worked with many concerns tied to family patterns, adoption and foster care history, aging and caregiver stress, and feelings of emptiness.
He uses methods grounded in Cognitive Behavioral Therapy, focusing on how thoughts and behaviors link to feelings. The work often includes setting goals, trying new behaviors, and reviewing what helps. People can expect direct, plain talk and a steady focus on what they want to change.
He will meet clients where they are and adjust pacing and techniques as needed. The goal is clearer thinking, better day-to-day routines, and more confidence in handling life’s demands. He is licensed as an LMHC in Florida and as an LCMHC in Utah, and conducts sessions in English.
E. lists one way of working on the entry:
What E. works with
The areas below are the ones E. selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Addictions
- Relationship issues
Also listed
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Blended family issues
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Dependent personality
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Emptiness
- Family problems
- Fatherhood issues
- Forgiveness
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Self esteem
- Self-harm
- Self-love
- Sexuality
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Training and background
| Registers | LMHC, LCMHC |
|---|---|
| Years in practice | 20 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Florida |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Practical approaches for online care
CBT - Cognitive Behavioral Therapy focuses on the links between thoughts, feelings, and actions. It helps people notice unhelpful thinking patterns and practice different behaviors to reduce anxiety, depression, or compulsive habits.How therapy choices are decided is part of the work. The therapist will talk with each person about their goals and preferences and then suggest approaches that fit. Treatment plans are adjusted over time based on what helps and what does not.
Online sessions are offered by video calls, phone sessions, live chat, or text-based messaging to match different needs. Video sessions let you use visual cues and a full discussion format. Phone sessions can be easier when bandwidth is limited or when a shorter check-in fits a break at work. Live chat and text messaging can work well for brief updates, coaching-style support, or when writing out thoughts feels clearer. These formats make it easier to fit therapy into a busy life and keep progress moving even when schedules change.
Start online instead of waiting
Our partner service asks a few questions about what you are looking for and matches you with a therapist for sessions from home.
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Common questions
What kinds of concerns does he help people address?
What is his therapeutic style like?
How much experience does he have?
What credentials and location are listed?
Which languages are supported for sessions?
What session formats are used for online work?
How are fees and payment handled?
What do I do to begin therapy?
A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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