Therapist listings are provided by BetterHelp. We will earn a commission at no additional cost to you if you use our links to purchase.

Nicole Ficano

Nicole Ficano

LMHC

Therapist · New York · 9+ years of experience

Practical support for stress, anger, and relationships

Continue with Nicole

Opens BetterHelp in a new tab, where you can review online therapy options.

  • Compassionate guidance
  • Skills based work
  • Values focused

About Nicole

Nicole Ficano is a licensed mental health counselor (LMHC) based in New York. She focuses on helping people manage stress, anxiety, anger, depression, and relationship concerns in a straightforward, compassionate way. Nicole aims to create a calm space where people can begin to feel more in control of their emotions and choices.

Her work emphasizes building self-compassion and better communication. She helps people learn practical ways to handle workplace stress, grief, and changes in life. Nicole also supports those coping with addiction, mood disorders, and challenges tied to identity and intimacy.

Nicole uses therapies that focus on the person's experience and current needs. She draws from client-centered approaches, cognitive behavioral techniques, and skills from dialectical behavior therapy to help people notice patterns and try new behaviors. Mindfulness and existential ideas are woven in to help clarify values and bring steady attention to the present.

Across nine years of practice she has worked with a wide range of concerns including ADHD, panic, obsessive-compulsive patterns, codependency, and isolation. Nicole helps people develop coping tools, set boundaries, and strengthen emotional regulation. Her style is practical and collaborative, with an emphasis on small, manageable changes.

People who choose her often want clear strategies alongside emotional support. She focuses on helping clients build resilience and reconnect with strengths so they can handle the next steps in life with more confidence.

Areas of expertise

Also works with

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

Additional focus areas

AbandonmentAging and geriatric issuesAttachment issuesCodependencyCommunication problemsDrug and alcohol addictionFamily problemsGuilt and shameIsolation / lonelinessMood disordersNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPost-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

Credentials

New York

Languages

English

How Nicole’s Approaches Translate to Online Work

Nicole mixes client-centered therapy, cognitive behavioral therapy (CBT), and dialectical behavior therapy (DBT) in ways that work well in online sessions. Client-centered therapy focuses on listening and building trust so people feel heard and understood; it helps when someone needs support sorting through emotions. CBT breaks problems into thoughts, feelings, and actions and teaches practical strategies to change unhelpful thinking and behavior; it is useful for anxiety, depression, and anger. DBT offers emotion regulation and distress tolerance skills that help people manage intense reactions and improve relationships.

Finding the best fit is part of the process. The therapist will work together with each person to choose which approaches to use based on their goals, comfort, and what feels most helpful. That collaborative planning can be adjusted as therapy moves forward.

Session formats are not listed in the biography, so confirm current options before booking. Online work can make it easier to fit sessions into a busy life, for example by removing commute time or allowing shorter check-ins when schedules are tight. It can also let someone use phone or lower-bandwidth options when video is difficult. Licensed professionals can adapt exercises, worksheets, and skills training for remote sessions so progress can continue between meetings.

At a glance

Listed location
New York
Experience
9+ years
Credentials
LMHC
Languages
English
License (New York)
LMHC · No. 010149
NPI
1932709623

As listed by the therapist. You can check a license with the state board and an NPI with the national registry.

Frequently asked questions

What concerns does she commonly address?

Nicole works with a wide range of issues including stress, anxiety, anger, depression, trauma, addictions, relationship and intimacy concerns, grief, and sleep or eating difficulties.

What is her general therapy style?

Her approach is collaborative and practical, combining client-centered listening with tools from cognitive behavioral therapy and dialectical behavior therapy to teach coping skills and change unhelpful patterns.

How much experience does she have?

She has nine years of clinical experience working with mood disorders, attachment issues, OCD tendencies, panic, and related concerns.

Where is she based and what is her credential?

She is a licensed mental health counselor, LMHC, practicing in New York.

Which languages are supported for sessions?

Sessions are offered in English.

Can people outside the U.S. work with her?

She is not accepting international clients at this time.

How are fees and billing handled?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

What is the first step to begin therapy?

Start by selecting the Start Therapy button, completing a short matching questionnaire, and then scheduling according to the therapist's availability.

Before you start

  • Online talk therapy is not a court-ordered or mandated anger-management course, and it does not provide attendance certificates.
  • Check that the location and license details above fit where you live.
  • If anyone is at risk of being harmed, contact emergency services or a domestic-abuse helpline first. See the support lines for the US, UK and Australia.
Nicole FicanoContinue with Nicole