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Nathan Railla, LPC, LCMHC

Vermont licensed counselor for stress and recovery
  • Stress and anxiety
  • Addiction recovery
  • Relationship support

About Nathan Railla

Nathan Railla is a licensed counselor based in Vermont who brings 15 years of clinical experience to his work with individuals and families. He focuses on helping people manage stress and anxiety, address addictions, and rebuild self-esteem and motivation. Nathan also supports clients through depression, relationship and family challenges, trauma and abuse, grief, anger, ADHD, and major life transitions. He approaches each person with emphasis on creating a calm, nonjudgmental space where thoughts and feelings can be explored openly and honestly.

Nathan holds the credentials LPC and LCMHC - LPC stands for Licensed Professional Counselor and LCMHC denotes Licensed Clinical Mental Health Counselor - which reflect formal training and state licensure to provide therapeutic services. He works collaboratively with clients to identify practical coping strategies, strengthen communication and attachment patterns, and navigate issues such as codependency, commitment and control concerns, substance use, and complicated emotions like guilt, shame, and emptiness. Nathan is accepting clients both in Vermont and internationally and offers multiple ways to meet that accommodate different schedules and needs. Those taking the first step into therapy will find a clinician who values courage, clarity, and steady support throughout the change process.

Areas of Expertise

Also Specializes In

Family conflictsTrauma and abuseGriefAnger managementDepressionADHD

Additional Focus Areas

AbandonmentAttachment issuesCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesDependent personalityDissociationDivorce and separationDrug and alcohol addictionEmptinessFamily problemsForgivenessGuilt and shameImpulsivityIsolation / lonelinessLife purposeMen's issuesMoney and financial issuesMood disordersPanic disorder and panic attacksParanoiaPhobiasPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSexualitySmoking / vaping cessationSocial anxiety and phobiaWorkplace issuesYoung adult issues

Therapeutic Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Mindfulness Therapy Somatic Therapy

Frequently Asked Questions

How much experience does Nathan Railla have?

Nathan Railla has 15 years of experience.

Is Nathan Railla a licensed therapist?

Yes, holds these credentials: LPC, LCMHC. License details: CO LPC LPC.0016012, VT LCMHC 068.0134331.

In which languages does Nathan Railla provide therapy?

English.

Where is Nathan Railla located?

Vermont.

How can I work with Nathan Railla as my therapist?

You can work with Nathan Railla through video calls, phone sessions, live chat, or text-based messaging.

Does Nathan Railla work with international clients?

Yes, Nathan Railla works with international clients.

How much does therapy with Nathan Railla cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, just click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Just click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Therapeutic approaches and online support



Nathan uses client-centered therapy to create a supportive space where the person's priorities lead the work. This approach emphasizes empathy, active listening, and collaboration to help people explore values, strengthen self-worth, and navigate relationship or identity concerns.

Cognitive Behavioral Therapy, or CBT, is used to identify and change unhelpful thought patterns and behaviors. CBT is practical and skills-focused, and it can be effective for anxiety, depression, stress management, and coping with addictive urges.

Mindfulness therapy helps clients develop present-moment awareness and greater tolerance for difficult emotions. By learning simple attention and grounding practices, people often gain tools to reduce reactivity, manage cravings, and improve emotional regulation.

Finding the right combination of approaches is part of the therapeutic process. Nathan works collaboratively with each person to tailor interventions to their needs, goals, and preferences, adjusting methods as progress unfolds.

Online therapy with Nathan is offered via video calls, phone sessions, live chat, or text-based messaging. These options provide flexibility for busy schedules, accessibility for clients in different locations, and multiple ways to engage depending on comfort and communication style. Licensed professionals can deliver effective, goal-oriented care through these formats while making participation more convenient for people managing complex lives.

Ready to start therapy with Nathan Railla?

Take the first step toward a better you.