About Nicholas
Nicholas Pantages is a Licensed Clinical Social Worker (LCSW) practicing in Missouri. He brings seven years of experience helping people facing depression, anxiety, stress, grief, and addiction. Nicholas focuses on mood disorders, aging concerns, and navigating major life changes.
He uses practical methods like Cognitive Behavioral Therapy and Dialectical Behavior Therapy to help people change unhelpful patterns. He also applies Acceptance and Commitment Therapy ideas to help clients clarify values and commit to small steps.
How Nicholas works
Eye Movement Desensitization and Reprocessing, or EMDR, is part of his toolkit for trauma-related work. Nicholas favors a collaborative style. He works alongside people to build on strengths and set realistic goals.
Sessions often include skill practice, problem solving, and checking what works between meetings. He pays attention to relationships, caregiving stress, and the emotional load that comes with illness and end-of-life concerns. Nicholas also addresses issues such as anger, sleep problems, parenting strain, and the effects of substance use on daily life.
The pace of change is kept realistic. Nicholas helps clients take manageable steps and notice progress. He aims to create clear, practical plans so people can move toward a more satisfying sense of self.
People work with him through video calls, phone sessions, live chat, or text messaging. Sessions are offered in English and are arranged through a short matching questionnaire and scheduling process.
Nicholas lists 8 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
- 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
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 7 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Missouri |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Online approaches that focus on skills and recovery
Acceptance and Commitment Therapy (ACT) encourages people to clarify what matters most and take small, value-driven steps. It helps with stress, anxiety, and coping with major life changes by reducing the struggle with unwanted thoughts and emotions. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them with real-world behavior changes. It is commonly used for anxiety, depression, sleep issues, and mood regulation. Eye Movement Desensitization and Reprocessing (EMDR) is a therapy used for processing traumatic memories and reducing their emotional intensity; it can be helpful for people with trauma and abuse histories.Choosing the right approach is a team effort. Nicholas will work collaboratively to decide which methods fit a person’s goals and preferences. He may combine techniques and adjust the plan over time, checking in about what helps and what needs to change.
Online work can make therapy more flexible. Video calls let people see nonverbal cues and practice skills in real time. Phone sessions require less bandwidth and can be a good option when a quick check-in or a quieter setup is needed. Live chat or text-based messaging supports shorter updates, ongoing coaching between sessions, and people who prefer writing. These options help fit therapy into busy schedules and different daily routines.
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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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