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Katharine “Katy” Nicholson

Katharine “Katy” Nicholson

LMFT · New York

Compassionate relationship and family-focused therapist

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  • LMFT in New York
  • Attachment-informed care
  • Practical communication help

About Katharine

Katharine "Katy" Nicholson is a Licensed Marriage and Family Therapist (LMFT) based in New York. She focuses on practical ways to improve relationships and daily life. Katy speaks plainly, listens closely, and helps people find clearer ways to communicate and solve problems.

Katy has about 10 years of clinical experience working in community mental health and outpatient settings. She often sees families together but also meets with individuals to focus on personal needs that may get overlooked. Parents who are unsure about the best approach to caregiving can expect concrete, empathetic guidance.

Her approach draws on attachment-informed work and cognitive behavioral tools to help people notice patterns and try different responses. She also uses techniques from emotion-focused and dialectical approaches when feelings run high and relationships feel stuck. Sessions aim to build useful skills, not just talk about problems.

Katy has experience with a wide range of concerns, including trauma, grief, addiction, anxiety, depression, ADHD, and issues around intimacy and self-esteem. She also lists adoption and foster care among her focus areas and can address related attachment and family-origin concerns.

She encourages practical, hands-on problem solving in sessions and will try creative strategies when needed. To start, readers can follow the site’s process to match and schedule sessions based on therapist availability.

How Katy’s approaches translate to online therapy

Attachment-Based Therapy looks at how past relationships shape how people connect today. Katy uses it to notice patterns in closeness, trust, and caregiving, and to try new ways of relating that feel safer and more responsive. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thoughts and testing new behaviors. Katy uses CBT tools to break cycles of worry, low mood, and reactive communication.

Finding the right approach is part of the work. Katy treats therapy as a team effort and will help figure out which methods fit a person's goals and preferences. She combines approaches when needed and checks in regularly so the plan stays useful and realistic.

Session formats are not listed in the biography, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy life, for example by eliminating travel time or allowing shorter check-ins on a workday. It can also make it simpler to include co-parents or other household members in the conversation when scheduling is tight. Licensed professionals adapt tools like skill practice, role plays, and problem-solving tasks so they work well in remote sessions.

Areas of expertise

Primary focus

Relationship issuesFamily conflictsTrauma and abuseParenting issues

Also works with

Stress, AnxietyAddictionsLGBTGriefIntimacy-related issuesEating disordersSleeping disordersAnger managementSelf esteemCareer difficultiesBipolar disorderDepressionCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesBlended family issuesBody imageCommitment issuesCommunication problemsDivorce and separationDomestic violenceEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesForgivenessGender dysphoriaGuilt and shameImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual assault and abuseSexual dysfunctionSexualitySocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Imago Relationship TherapyMindfulness TherapyMotivational InterviewingPsychodynamic TherapyTrauma-Focused Therapy

Experience

10+ years

Credentials

New York

Languages

English

Frequently asked questions

What kinds of concerns does Katy address?

She works with relationship challenges, family conflict, trauma and abuse, parenting struggles, stress and anxiety. She also supports people with grief, addictions, body image, and issues related to adoption and foster care.

What is her basic therapeutic style?

She uses an attachment-informed, client-centered style that emphasizes listening and practical problem solving. Sessions often focus on improving communication and trying concrete skills between meetings.

How much experience does she have?

Katy has around 10 years of clinical experience, including work in outpatient community mental health settings.

What are her credentials and where is she located?

She is a Licensed Marriage and Family Therapist - LMFT - licensed in New York and practices from that state.

Which languages are supported for sessions?

Sessions are offered in English.

Can international clients work with her?

International clients are not currently accepted.

How does payment or cost work?

Cost varies by location and therapist availability and sessions use a subscription that can be canceled at any time.

What should I do to begin working with her?

Use the Start Therapy button, complete the short matching questionnaire, and then schedule based on the therapist's availability.

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Katharine “Katy” NicholsonOnline therapy options on BetterHelp

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