Katharine “Katy” Nicholson, LMFT

Katharine “Katy” Nicholson offers a practical, solution-focused approach rooted in cognitive behavioral therapy. She keeps sessions straightforward and action-oriented to help people change patterns that cause stress or conflict. Katy is a Licensed Marriage and Family Therapist - LMFT - based in New York with ten years of clinical experience.

Katy helps people who are dealing with relationship and family tension. She also supports those coping with anxiety, depression, grief, trauma, parenting strain, and struggles around eating, sleeping, or self-esteem. Her work includes support for people facing addiction, bipolar disorder, ADHD, and career-related stress.

Her style is warm and down-to-earth. Katy listens, asks clear questions, and suggests concrete steps to try between sessions. She often works on communication skills, setting boundaries, and improving day-to-day routines that affect mood and relationships.

Because of her background in family therapy, Katy can shift between meeting with an individual and addressing wider family patterns. She uses a mix of approaches to match each person's needs, including attachment-focused methods and client-centered techniques that keep the person's goals central.

Sessions usually involve practical skill-building and problem solving. Katy is comfortable using creative ideas when a more usual approach is not helping. She aims to help people feel heard and make steady progress toward their goals.

How Katy Brings CBT and Attachment Work Online

CBT, or cognitive behavioral therapy, focuses on identifying unhelpful thoughts and changing behaviors that keep problems going. It is useful for anxiety, depression, sleep issues, and habit change by teaching concrete skills and experiments to try between sessions.

Attachment-based methods look at how early relationship patterns affect current connections. This approach can help with intimacy problems, communication breakdowns, and family patterns by exploring emotional responses and safety in relationships.

Choosing the right approach is a collaborative process. Katy works with each person to decide which methods fit their goals and preferences, adjusting over time based on what helps most.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to make therapy flexible. Video is good for full sessions and practicing interpersonal skills, phone works well when bandwidth is limited, live chat and messaging allow shorter check-ins or step-by-step coaching, and text can help people track progress and try techniques between meetings. These options make it easier to fit therapy into a busy life and keep work moving forward.