About Nicole
Nicole Ficano is a licensed mental health counselor practicing in New York. She uses a straightforward, compassionate approach to help people who are feeling overwhelmed by stress, anxiety, mood shifts, or relationship problems. Nicole focuses on building self-compassion and clearer communication in everyday life.
In sessions she listens closely to how past hurts and attachment patterns show up now. That helps uncover habits that fuel anxiety, depression, addiction, or trouble trusting others.
How Nicole works
She works with each person to set practical goals and try small changes that make daily life easier. Nicole draws on client-centered methods to keep sessions grounded in what matters to the client. She also incorporates cognitive behavioral tools to challenge unhelpful thoughts and dialectical behavior strategies to manage intense emotions.
Mindfulness and existential ideas are used to explore meaning and increase moment-to-moment awareness. Her approach suits people coping with grief, compassion fatigue, work stress, parenting strain, and a range of mood or attention challenges. Nicole also supports those facing eating or sleeping concerns, intimacy issues, substance struggles, and panic or obsessive symptoms.
She aims to help people reconnect with their strengths and create clearer steps forward. Over nine years of practice, Nicole has helped clients develop coping skills, reduce distress, and improve communication. She focuses on realistic tools and steady progress rather than quick fixes.
People meet her for short-term problem solving or longer work on deeper patterns.
Nicole lists 9 ways of working on the entry:
What Nicole works with
The areas below are the ones Nicole 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
- 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
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 9 |
| 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 practical therapy methods translate online
Nicole uses client-centered work to keep the focus on each person's priorities. That means sessions start with the client's concerns and move at a pace that feels manageable, helping with grief, relationship patterns, or life changes.She also uses cognitive behavioral therapy to spot and shift unhelpful thoughts and behaviors. CBT is useful for anxiety, depression, panic, and obsessive worries because it offers clear skills to test against daily experience. Dialectical behavior therapy techniques help when emotions feel overwhelming by teaching distress tolerance, emotion regulation, and improved interpersonal effectiveness.
Choosing the right approach is a collaborative process. The therapist will listen to your goals, try different strategies, and adjust methods based on what helps most. Clients often blend approaches over time to fit changing needs and preferences.
Online therapy offers flexible ways to connect. Video calls allow face-to-face work and role-play, phone sessions can fit into a work break or when bandwidth is limited, and live chat or text messages support shorter check-ins and ongoing coaching between sessions. These options make it easier to keep therapy consistent around a busy schedule.
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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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