- Anxiety and stress
- Social anxiety and phobia
- CBT and mindfulness
About Nicholas
Dr. Nicholas Koumarianos is a Licensed Professional Counselor (LPC) and Licensed Mental Health Counselor (LMHC) with 11 years of clinical experience. He works with adults on anxiety, stress, self-esteem, career concerns, coping with life changes, anger, and compassion fatigue. He also addresses social anxiety and phobia alongside a range of related concerns.
Dr. Koumarianos uses straightforward, collaborative work in sessions. He helps people build coping skills, manage intrusive thoughts, and strengthen communication. Sessions often focus on practical steps that can make daily life easier rather than abstract theory.
He has particular experience with obsessive thinking and compulsions, and with challenges that come during midlife and men’s issues. He also supports people dealing with workplace stress, career decisions, and the effects of immigration or disaster-related upheaval.
His approach blends client-centered methods with cognitive behavioral techniques and mindfulness practice. That mix is used to identify unhelpful patterns, test new ways of responding, and practice skills in manageable steps.
Dr. Koumarianos also works with concerns around sexuality, including BDSM and kink communities, and process addictions such as problematic porn, exercise, or gambling. He frames these topics in plain terms and focuses on concrete strategies to reduce distress and increase day-to-day functioning.
To begin, the site’s matching process is used to schedule a first session. The therapist aims to work collaboratively to set goals, test what helps, and adapt the plan as progress is made.
How his therapeutic approaches adapt to online work
Client-Centered Therapy focuses on listening and responding to what matters most to the client. It helps people clarify goals, speak about what feels difficult, and direct the pace of work. Cognitive Behavioral Therapy (CBT) looks at thoughts and behaviors that keep anxiety and worry active. It involves testing beliefs with small experiments and building skills to reduce avoidance and distress. Existential Therapy explores values, meaning, and choices when life feels uncertain, useful for people facing midlife change or career crossroads.Finding the right approach is part of the collaboration. The therapist will talk with the client about goals and preferences, try approaches that fit those aims, and adjust the plan based on what helps. That shared process is used to decide whether to emphasize skills practice, values work, or symptom-focused CBT techniques.
The original biography does not list specific session formats, so confirm current online options before booking. Online sessions can make it easier to fit therapy into a busy week, allow shorter check-ins when needed, and remove travel time so work or family obligations are easier to manage. Licensed professionals can use these advantages to practice skills between sessions and keep continuity of care across locations.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
11+ years
Listed in
New Jersey, Florida, Missouri
Languages
English
Frequently asked questions
What concerns does he commonly address?
He works with stress, anxiety, self-esteem, career issues, coping with life changes, anger, compassion fatigue, and social anxiety and phobia among other concerns.
What is his therapeutic style?
He practices a collaborative, client-centered style that uses practical cognitive behavioral and mindfulness techniques to change unhelpful patterns and build coping skills.
How much clinical experience does he have?
He has 11 years of experience working with adults on anxiety, intrusive thoughts, workplace stress, and midlife concerns.
What are his professional credentials and location?
He holds LPC and LMHC credentials and practices from New Jersey while also holding licensure in FL and MO as listed.
Can people who live outside the US work with him?
He accepts international clients; sessions are offered in English.
What session formats are offered?
The original profile does not list specific session formats; confirm current session options before booking.
How does cost work for sessions?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What do I do to get started?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.