About Katharine
Katharine “Katy” Nicholson uses attachment-based and client-centered approaches to help people feel understood and improve relationships. She is a Licensed Marriage and Family Therapist (LMFT) based in New York with ten years of clinical experience. Katy speaks plainly and listens carefully to each person's concerns before planning next steps.
Katy focuses on relationship and family concerns, parenting challenges, and issues tied to trauma, stress, and anxiety. She also supports people dealing with mood concerns such as depression and bipolar disorder, as well as symptoms linked to ADHD.
Background and approach
Her work includes addressing eating and sleeping struggles, anger, self-esteem, and intimacy-related problems. In sessions she uses practical tools from Cognitive Behavioral Therapy and Dialectical Behavior Therapy to help people manage emotions and build skills. She draws on Emotionally-Focused Therapy to help partners and individuals improve connection and communication.
Katy keeps sessions goal-oriented while attending to the feelings beneath behaviors. Her background includes outpatient community mental health and many years working with families and individuals. Katy often helps parents with parenting strategies and people who are trying to repair difficult relationships.
She is comfortable using flexible, sometimes creative methods to respond to complex situations. Katy offers online sessions by video, phone, live chat, or text messaging. To begin, a person completes a short matching questionnaire and schedules sessions based on therapist availability.
Fees vary with location and the subscription plan can be canceled at any time.
How Katy’s Approaches Work Online
Attachment-Based Therapy focuses on patterns of connection and trust. Online work with this approach helps people spot repeated relationship habits and practice new ways of reaching out or responding when bonds feel strained.Client-Centered Therapy centers the person’s experience and choices. In telehealth sessions this means the therapist listens closely, reflects what she hears, and helps clients name priorities and next steps at their own pace.
Cognitive Behavioral Therapy (CBT) offers concrete strategies to change unhelpful thoughts and behaviors. Used online, CBT sessions often include short exercises, worksheets, and homework to try between meetings so progress can continue outside sessions.
Choosing the right approach usually happens together. Katy will talk with each person about goals, what feels useful, and which methods fit their life. She adjusts her plan as needs and preferences become clearer in ongoing work.
Online therapy is offered by video calls, phone sessions, live chat, or text-based messaging to make care more flexible. Video is helpful when visual cues matter, phone sessions can be simpler when bandwidth is limited, and chat or text sessions can fit quick check-ins or times when a shorter interaction is needed. These options let people fit therapy into busy schedules and maintain continuity when in-person visits are difficult.
Questions people ask
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What this therapist works with
Most often
- Relationship issues
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Anger management
- Attachment issues
- Bipolar disorder
- Blended family issues
- Body image
- Career difficulties
- Coaching
- Commitment issues
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Stress, Anxiety
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 10 years
- Licensed
- New York
- Languages
- English
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