About Katharine
Katharine “Katy” Nicholson uses a blend of relationship-focused and practical therapies to help people sort out connection and family concerns. She is a Licensed Marriage and Family Therapist, LMFT, based in New York with ten years of clinical experience. Katy listens closely, helps clarify what is getting in the way, and works with each person to find steps that fit their life.
Katy draws on attachment-based ideas to look at safety and bonding in relationships.
How Katharine works
She pairs that with client-centered listening so people feel heard while they look for change. Cognitive behavioral tools and emotion-focused strategies help with mood, anxiety, and painful patterns that repeat in relationships. Her background includes community mental health and several years focused on family systems and parenting questions.
That experience led to practical approaches parents can use when they feel stuck or overwhelmed. She can also help people manage grief, addiction-related strain, sleep and eating concerns, and work stress. Katy offers straightforward conversations about difficult topics like domestic violence, abandonment, adoption and foster care, and attachment wounds.
She encourages small experiments between sessions to test new ways of relating. The work tends to be hands-on and problem-solving rather than purely academic. Sessions aim to build better communication, steadier mood regulation, and clearer choices about next steps.
Katy supports people dealing with depression, bipolar mood shifts, ADHD, anger, and low self-esteem. Her style is warm, persistent, and focused on practical change.
Katharine lists 10 ways of working on the entry:
What Katharine works with
The areas below are the ones Katharine selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Relationship issues
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Coaching
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Stress, Anxiety
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | LMFT |
|---|---|
| Years in practice | 10 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New York |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How attachment work and practical therapy translate online
Attachment-Based Therapy looks at how early and current relationships shape feelings of safety and trust. Online sessions can help people notice patterns in how they react to partners or family and practice new ways of relating. Client-Centered Therapy emphasizes listening and empathy so people can name what matters and decide next steps. That approach works well over video or phone when a calm, steady conversation is needed to sort out priorities.Katy will help clients choose the approaches that fit their goals and preferences. She will talk through options, try a method for a few sessions, and adjust based on what helps. The collaboration aims to match technique to the problem rather than forcing one style on everyone.
Online formats include video calls, phone sessions, live chat, and text-based messaging, offering flexibility for different needs. Video is useful for detailed conversations and reading nonverbal cues. Phone sessions can be a simpler option when bandwidth is limited or a shorter check-in is needed. Live chat and messaging are helpful for brief updates, coaching-style prompts, or when scheduling makes real-time sessions difficult. These choices make it easier to fit therapy into a busy life and to experiment with what works best.
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Common questions
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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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