- Thoughts and everyday habits
- Practical coping skills
- Work and life transitions
About Nicholas
He brings 11 years of experience as an LPC and LMHC working with adults on problems like obsessive thoughts, social anxiety, and workplace stress. He also works with issues such as low self-esteem, anger, compassion fatigue, and process addictions. His background includes work with men’s concerns and midlife transitions.
Therapy is collaborative and grounded in visible techniques. He uses Client-Centered Therapy to follow each person’s pace and values. Cognitive Behavioral Therapy helps people identify thought patterns and test new behaviors. Mindfulness and Solution-Focused methods are used to teach attention skills and build small, practical changes.
Sessions focus on skills you can use day to day. That might mean practicing new habits, improving communication, or planning steps for career shifts. He pays attention to how thoughts and routines shape feelings and choices, and then works to change them in concrete ways.
Dr. Koumarianos asks questions, listens closely, and adjusts what he does based on what helps. New clients complete a short matching questionnaire and then schedule sessions according to availability. He works from New Jersey and offers services in English, including to international clients.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
11+ years
Credentials
New Jersey, Florida, Missouri
Languages
English
Approach-driven online therapy for daily thinking and habits
Client-Centered Therapy focuses on listening and responding to what matters most to each person. It helps people feel heard and choose goals that fit their life. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors connect; it teaches concrete experiments and new routines to reduce anxiety and change unhelpful habits. Existential Therapy invites people to reflect on meaning, values, and choices during life transitions and midlife questions.Finding the right mix of methods is part of the process. The therapist works collaboratively to match approaches to a client's goals, preferences, and responses. Together they try strategies, notice what helps, and adjust over time rather than committing to a single path from the start.
Confirm current session options before booking to see which online formats are offered. Online therapy can make it easier to fit sessions into a busy week, allow shorter check-ins when time is limited, and reduce travel time for people balancing work or family demands. Licensed professionals can use these approaches to coach on practical skills, practice new habits between sessions, and track progress over weeks so therapy fits into everyday life.
Frequently asked questions
What concerns does he commonly address?
He works with stress, anxiety, self-esteem, workplace issues, and coping with life changes. Additional focuses include OCD patterns, social anxiety, process addictions, sexuality, and compassion fatigue.
What is his general therapy style?
The style is collaborative and client-centered, with concrete techniques from cognitive behavioral and mindfulness approaches. Sessions emphasize practical steps and skills to change everyday habits and thoughts.
How much clinical experience does he have?
He has 11 years of experience working with adults on anxiety, intrusive thoughts, interpersonal challenges, and midlife transitions.
What credentials and region does he practice in?
He holds LPC and LMHC credentials and practices in New Jersey. Credential shorthand: Licensed Professional Counselor (LPC) and Licensed Mental Health Counselor (LMHC).
Are sessions available in other languages?
Sessions are offered in English.
Can international clients work together with him?
He accepts international clients. Confirm scheduling and any location-based details before booking.
How are fees and billing handled?
Cost varies with location and therapist availability. Sessions use a subscription model that can be canceled at any time.
What are the first steps to begin therapy?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.