About Nicholas
Dr. Nicholas Koumarianos offers a practical, person-focused approach to therapy. He is a licensed professional counselor and a licensed mental health counselor with eleven years of experience working with adult clients in New Jersey.
He focuses on helping people manage anxiety, stress, self-esteem struggles, and major life changes. He uses clear, goal-oriented methods drawn from client-centered work and cognitive behavioral ideas. Sessions are collaborative - he helps people identify patterns, try new strategies, and notice what actually changes.
How Nicholas works
He also integrates mindfulness and solution-focused techniques to support coping and decision-making. Dr. Koumarianos has particular experience with obsessive thoughts, social anxiety, impulse-related concerns, and process-related behaviors such as problematic porn use or gambling.
He also supports people dealing with workplace stress, career decisions, and the emotional strain of caregiving or compassion fatigue. He is comfortable addressing sexuality topics including BDSM, kink, and alternative sex culture, and he can help with communication problems, forgiveness work, and immigration-related stress. His style is direct but compassionate, aimed at practical progress rather than long theory sessions.
Therapy is offered in English and can be scheduled online through video calls, phone, live chat, or text messaging. People start by completing a short matching questionnaire and scheduling a session according to availability.
Nicholas lists 6 ways of working on the entry:
What Nicholas works with
The areas below are the ones Nicholas selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Stress, Anxiety
- Self esteem
- Career difficulties
Also listed
- Anger management
- BDSM, kink, and alternative sex culture
- Coaching
- Communication problems
- Compassion fatigue
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Forgiveness
- Immigration issues
- Impulsivity
- Men's issues
- Midlife crisis
- Obsessions, compulsions, and OCD
- Process addiction (porn, exercise, gambling)
- Sexuality
- Social anxiety and phobia
- Workplace issues
Training and background
| Registers | LPC, LMHC |
|---|---|
| Years in practice | 11 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | New Jersey |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches and online care
Dr. Koumarianos draws on client-centered therapy to make sessions revolve around each person's concerns and priorities. This approach focuses on listening, clarifying goals, and helping people feel heard while they decide next steps.He also uses cognitive behavioral therapy, which helps identify unhelpful thinking and behavior patterns and then tests small changes to reduce anxiety and improve daily functioning. Solution-focused techniques are often used alongside CBT to set clear, achievable goals and notice early signs of progress.
Choosing the right approach is part of the work. He collaborates with each person to match methods to their needs, goals, and preferences, adjusting the plan over time as progress and priorities evolve.
Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video calls allow face-to-face conversation and visual cues, phone sessions work well when bandwidth is limited or a quieter check-in is needed, and chat or text messaging can be useful for brief updates, quick coaching, or keeping momentum between sessions. These formats make scheduling more flexible and can help fit therapy into a busy life.
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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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