Nilson Mejia, LMHC

Nilson Mejia is a licensed mental health counselor who helps people who feel stuck, overwhelmed, or misunderstood. He listens closely to each person’s story and aims to create clear goals they can work toward together.

He uses straightforward tools to address anxiety, depression, low self-esteem, stress, and relationship or intimacy-related concerns. Sessions focus on practical steps people can try between appointments and on understanding patterns that keep problems repeating.

Nilson draws on cognitive behavioral therapy, which looks at how thoughts, feelings, and actions connect, and on client-centered methods that prioritize the person’s experience. He also uses skills from dialectical behavior therapy and mindfulness to teach emotion regulation and distress tolerance.

In session he talks through what matters most to each person, then tailors steps and strategies to fit daily life. He explains ideas in plain language and checks in to make sure the plan feels realistic and useful.

Nilson has five years of clinical experience and holds a Licensed Mental Health Counselor credential - LMHC - in New York. He offers services in both English and Spanish and works with people across a range of concerns, from career stress and parenting strains to issues like ADHD, anger, and coping with life changes.

Working with CBT and Skills-Based Approaches Online

Nilson often uses cognitive behavioral therapy to help people spot unhelpful thinking and try different actions that change how they feel. CBT is practical and focuses on small changes that add up over time and can help with anxiety, depression, and stress.

He also uses client-centered methods that prioritize listening and the person’s own goals, and draws on dialectical behavior therapy skills for emotion regulation and distress tolerance. Those approaches teach concrete tools for managing intense feelings and improving relationships.

Finding the right approach is part of the process. He will work collaboratively to choose methods that match the client's needs, goals, and preferences, and will adjust the plan as progress or challenges emerge.

Online sessions are offered via video calls, phone, live chat, or text-based messaging to make therapy more flexible. Video calls allow face-to-face conversation and skills practice, phone sessions can be a simpler option when bandwidth is limited, and chat or messaging can support quick check-ins or shorter exchanges between appointments. These formats help fit care into work, parenting, and busy schedules while keeping therapy consistent and practical.