Katharine “Katy” Nicholson
Relationship-focused therapist with practical skills
LMFT New York
- Experience
- 10 years in practice
- Focus areas
- Relationship, Family, Trauma and abuse
- Approaches
- Cognitive Behavioral Therapy (CBT), Attachment-Based Therapy
- Languages
- English
About Katharine
Katharine “Katy” Nicholson brings a decade of clinical experience grounded in family systems and practical, skills-based therapy.
Background and approach
As an LMFT licensed in New York, Katy draws on Cognitive Behavioral Therapy alongside attachment-informed and client-centered methods to help people navigate relationship strain, trauma, parenting challenges, mood concerns, and stress-related difficulties. She combines a warm, problem-solving orientation with attention to the ways family dynamics shape individual experience.
Across her work Katy has supported clients with an extensive range of concerns including anxiety, depression, bipolar disorder, grief, addictions, intimacy and communication problems, eating and sleep difficulties, and issues tied to adoption or foster care. She also addresses more specific themes such as abandonment, blended family tensions, compassion fatigue, and self-esteem.
In sessions she centers listening and collaborative planning, using concrete strategies from CBT and related modalities while also attending to attachment patterns and emotional experience. Based in New York, Katy has spent much of her career in outpatient community mental health and offers a mix of formats to fit different needs.
She emphasizes practical steps alongside reflective work, aiming to help clients build clearer communication, healthier relationships, and better daily coping skills.
Approaches for online work and practical support
Many clients find Cognitive Behavioral Therapy helpful for identifying unhelpful thinking patterns and learning concrete skills to manage anxiety, depression, eating and sleep problems, and other day-to-day difficulties. Attachment-Based Therapy looks at how early and current relationship patterns affect emotions and interactions, which can be useful for addressing intimacy, communication problems, family-of-origin issues, and abandonment concerns. Client-Centered Therapy emphasizes an accepting, empathic relationship where the therapist follows the client's pace and priorities to foster insight and self-directed change.Finding the right approach is a collaborative process. Katy will work with each person to explore which methods fit their goals and needs, and she often combines elements from different models to create a plan that feels practical and aligned with the client's preferences.
Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These options allow work to continue around busy schedules, reduce travel time, and make it easier to maintain consistency in therapy while tailoring communication style to what works best for the client.
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Licensed
New York
Languages
English