Nicole Ficano

Calm, practical therapy for emotional growth

LMHC New York

Experience: 9 years in practice
Focus areas: Stress, Anxiety, Addictions, Relationship
Approaches: Cognitive Behavioral Therapy (CBT), Client-Centered Therapy
Languages: English

About Nicole

Nicole Ficano is a licensed mental health counselor (LMHC) practicing in New York who combines practical, evidence-informed methods with an empathic, client-centered stance.

Background and approach

She emphasizes Cognitive Behavioral Therapy (CBT) alongside complementary approaches to help people identify unhelpful thinking patterns, develop new coping skills, and rebuild a sense of agency when anxiety, depression, trauma, or addictive behaviors feel overwhelming. Her work also attends to relationship dynamics and attachment patterns, guiding clients through communication challenges, intimacy-related concerns, and grief or life transitions.

Nicole supports exploration of mood disorders, stress management, and the impact of shame, isolation, or compassion fatigue on daily functioning, tailoring interventions to fit each person’s situation. With nine years of clinical experience, she draws on mindfulness and dialectical strategies to strengthen emotional regulation and on client-centered principles to cultivate a respectful, collaborative therapeutic alliance.

Nicole aims to help clients restore balance, increase self-compassion, and discover practical steps toward healthier routines and relationships.

Combining practical approaches with flexible online care

Nicole integrates Cognitive Behavioral Therapy (CBT) and Client-Centered Therapy into her online practice. CBT focuses on identifying and shifting unhelpful thoughts and behaviors to reduce symptoms of anxiety, depression, and stress, providing structured tools and homework to reinforce change. Client-Centered Therapy emphasizes a respectful, empathetic stance where the therapist listens deeply and supports clients in exploring values, emotions, and personal goals to foster self-compassion and insight.

Choosing the right approach is a collaborative process. Nicole works with clients to assess needs, goals, and preferences and then adapts techniques from different models to create a tailored plan. This partnership helps clarify what strategies feel most useful and sustainable for each person over time.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to enhance accessibility and scheduling flexibility. These formats make it easier to maintain consistency during life transitions or busy periods, while still allowing licensed professionals to guide skill-building, emotional regulation, and practical problem solving in an ongoing therapeutic relationship.

Frequently asked questions

What concerns does this therapist commonly address?

Nicole works with a wide range of issues including stress, anxiety, depression, trauma and abuse, addictions, relationship and intimacy-related issues, grief, and mood disorders among others.

What therapeutic styles does she use in sessions?

She uses a blend of approaches such as Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Existential Therapy, Mindfulness Therapy, and Motivational Interviewing to match treatment to client needs.

How much clinical experience does she have?

She has nine years of experience working with people on issues like stress, mood disorders, and interpersonal challenges.

What are her credentials and where is she based?

She is a licensed mental health counselor with the New York license NY LMHC 010149 and practices in New York.

Does she offer services in languages other than English or to international clients?

Sessions are offered in English only, and she is not currently accepting international clients.

Which session formats are available for remote work?

Clients can work with her via video calls, phone sessions, live chat, or text-based messaging depending on preference and availability.

How are costs and subscriptions handled?

Cost varies with location and therapist availability, and sessions are provided through a subscription model that can be canceled at any time.

What is the process for beginning therapy with her?

To start, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety AddictionsRelationship issuesTrauma and abuse Depression

Also works with

LGBTFamily conflictsGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigue ADHD

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesCodependencyCommunication problemsDrug and alcohol addictionFamily problemsGuilt and shame Isolation / loneliness Mood disordersNarcissismObsessions, compulsions, and OCD Panic disorder and panic attacksPersonality disordersPhobias Post-traumatic stressSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Existential TherapyMindfulness TherapyMotivational InterviewingPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

9+ years

Licensed

New York

Languages

English