- CBT methods
- DBT skills
- Mindfulness practice
About Nicole
Nicole Ficano is a licensed mental health counselor, New York LMHC, with nine years of clinical experience. She works with people who feel overwhelmed by stress, anxiety, anger, and relationship strain. She also helps those coping with trauma, depression, addiction, grief, and sleep or eating struggles.
Nicole focuses on clear, practical steps in sessions. She listens for patterns in attachment and communication. Then she helps clients practice new responses, reduce reactivity, and strengthen everyday coping skills. Work can include short skill-building exercises and focused conversations about recent events.
Her practice uses tools from cognitive behavioral therapy and dialectical behavior therapy to manage intense feelings and change unhelpful thought patterns. She also draws on client-centered and mindfulness approaches to increase present-moment awareness and personal agency. These methods are presented in straightforward language and practiced in-session.
Nicole pays attention to how stress and anger show up at work, in close relationships, and around parenting or caregiving duties. She guides people through small experiments between sessions to test new ways of responding. Progress is tracked with simple goals so clients can see practical change over time.
Sessions tend to be direct and focused. Nicole aims to reduce shame and blame while addressing behaviors that cause repeated conflict. She supports people trying to reduce substance use, manage mood swings, or rebuild trust after a hurt. For people wanting coaching-style support, she blends therapeutic work with goal planning and problem solving.
How her approaches translate to online work
Nicole commonly uses cognitive behavioral therapy and dialectical behavior therapy to help people notice thought patterns and practice new ways of reacting. CBT focuses on identifying and changing unhelpful thoughts that fuel anger or anxiety. DBT emphasizes skills for tolerating strong emotions and improving interpersonal effectiveness.She also uses client-centered and mindfulness approaches to increase awareness of bodily and emotional signals. Those methods help people slow down, notice urges, and choose actions instead of reacting automatically. Finding the right mix is part of the process, and Nicole works with clients to decide which approaches fit their goals and preferences.
Confirm the exact session formats before booking because the profile does not list them. Online work can make it easier to fit appointments into a busy week, shorten check-ins when time is tight, or avoid needing to commute. Sessions aim to translate in-person skill practice to real life through short between-session tasks and focused coaching on handling anger and stress.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
9+ years
Listed in
New York
Languages
English
Frequently asked questions
What kinds of problems does she help with?
She works with stress, anxiety, anger, relationship issues, trauma, depression, and addictions, among other concerns listed in her profile.
What is her general therapy style?
Her style is direct and practical, using skill practice and brief experiments to change responses and reduce reactivity.
How much clinical experience does she have?
Nicole has nine years of experience as a practicing clinician.
What are her credentials and where is she based?
She is a licensed mental health counselor (LMHC) in New York.
Which languages are sessions offered in?
Sessions are offered in English.
Does she work with international clients?
She is not currently accepting international clients.
How are sessions structured and what formats are available?
Confirm current session options before booking since specific formats are not listed in the profile.
How does the cost and subscription work?
Cost varies with location and sessions use a subscription that can be canceled at any time.