Dr. Nicholas Koumarianos
Practical CBT-informed support for anxiety and transitions
LPC, LMHC New Jersey
- Experience
- 11 years in practice
- Focus areas
- Stress, Anxiety, Self esteem, Career
- Approaches
- Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
- Languages
- English
About Nicholas
Dr. Nicholas Koumarianos centers his work on practical, evidence-informed approaches to help adults manage anxiety, stress, and life transitions.
Background and approach
Drawing on Cognitive Behavioral Therapy alongside client-centered and existential influences, he guides clients to identify unhelpful thinking patterns, develop concrete coping skills, and pursue values-driven change. With an emphasis on collaboration, he supports people facing perfectionism, intrusive thoughts, workplace pressure, and fluctuating self-esteem.
He has 11 years of clinical experience and holds LPC and LMHC credentials, bringing focused attention to issues such as obsessive-compulsive tendencies, social anxiety, and interpersonal difficulties. Dr.
Koumarianos also attends to concerns that intersect with sexuality and identity, including BDSM and kink, as well as process addictions, men’s issues, immigration-related stress, and compassion fatigue. Based in New Jersey, he combines mindfulness and solution-focused elements to help clients set achievable goals and build resilience through practical strategies and thoughtful reflection.
Integrating CBT and Client-Centered Work Online
Dr. Koumarianos commonly uses Cognitive Behavioral Therapy to help clients identify and change unhelpful thought and behavior patterns; this approach is useful for addressing anxiety, intrusive thoughts, workplace stress, and compulsive behaviors. He also employs client-centered techniques that prioritize the person’s own goals and perspective, offering empathetic listening and support while clients explore meaning and personal values. These approaches are paired with solution-focused and mindfulness strategies to develop practical coping skills and present-moment awareness.Finding the right mix of methods is a collaborative process. He works with each person to assess needs, preferences, and goals, then adjusts the therapeutic plan over time so techniques match what is most helpful for the client’s situation and priorities.
Online therapy with him is available through video calls, phone sessions, live chat, or text-based messaging, which makes scheduling more flexible and lets clients maintain continuity of care across locations. These formats support regular check-ins, skills practice between sessions, and access to care for those balancing work, travel, or other commitments.
Frequently asked questions
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Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
11+ years
Licensed
New Jersey, Florida, Missouri
Languages
English