Dr. Nicholas Koumarianos, LPC, LMHC

Dr. Nicholas Koumarianos is a Licensed Professional Counselor (LPC) and a Licensed Mental Health Counselor (LMHC) with 11 years of clinical experience based in New Jersey. He works with adults on common concerns such as anxiety, stress, self-esteem, career strain, coping with life changes, and anger. He also addresses issues like compassion fatigue and process addictions as part of his practice.

He describes his work as collaborative and grounded in evidence-based methods. Sessions focus on building practical coping skills, improving communication, and reducing unhelpful patterns that get in the way of daily life. He helps people manage intrusive thoughts, excessive worry, and perfectionism in ways that make day-to-day functioning easier.

Dr. Koumarianos has worked with men facing midlife transitions and with adults navigating social anxiety and interpersonal challenges. He also supports people dealing with workplace stress and complex emotional cycles that recur over time. His approach blends problem-focused techniques with attention to a person’s values and goals.

He lists clinical methods such as Cognitive Behavioral Therapy, Client-Centered Therapy, Existential Therapy, Mindfulness Therapy, Solution-Focused Therapy, and Trauma-Focused Therapy. These tools are used to help people reduce distress, test out new behaviors, and clarify what matters to them.

He also notes experience with topics that include BDSM and kink, sexuality, immigration-related concerns, forgiveness work, and obsessive-compulsive patterns. People who want to address anger or impulsivity can expect practical strategies and a collaborative planning process.

How his approaches translate to online work