Dr. Nicholas Koumarianos, LPC, LMHC

OCD-focused therapist for life transitions

Exposure and Response Prevention
Work and career challenges
Men's issues and midlife

About Dr. Nicholas Koumarianos

Dr. Nicholas Koumarianos is a licensed mental health professional who helps adults navigate obsessive thoughts, anxiety, and major life transitions. He specializes in treating Obsessive Compulsive Disorder using Exposure and Response Prevention - the evidence-based, gold-standard approach for OCD - and combines that work with practical strategies for stress, workplace challenges, and relationship concerns.

His practice emphasizes a collaborative, compassionate style grounded in evidence-based methods. He works with clients to develop coping skills, strengthen communication, and build resilience so they can manage perfectionism, career pressures, and self-esteem issues more effectively. Dr. Koumarianos has substantial experience supporting people with social anxiety, intrusive thoughts, and complex emotional patterns, and he brings focused attention to men’s issues and midlife transitions.

Dr. Koumarianos holds the credentials LPC and LMHC - Licensed Professional Counselor and Licensed Mental Health Counselor - and is licensed to practice in New Jersey, Florida, and Missouri. His Missouri license is MO LPC 2025014252 and his Florida license is FL LMHC MH25662. He approaches each person’s work with respect and curiosity, helping them uncover strengths, gain clarity, and pursue sustainable change at a pace that fits their life.

Areas of Expertise

Primary Focus

Stress, Anxiety Self esteemCareer difficultiesCoping with life changesCoaching

Also Specializes In

Anger managementCompassion fatigue

Additional Focus Areas

BDSM, kink, and alternative sex cultureCommunication problemsCoping with natural or human-caused disasterDependent personalityForgivenessImmigration issuesImpulsivityMen's issuesMidlife crisisObsessions, compulsions, and OCDProcess addiction (porn, exercise, gambling)SexualitySocial anxiety and phobiaWorkplace issues

Therapeutic Approach

Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Existential Therapy Mindfulness Therapy Solution-Focused Therapy Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Dr. Nicholas Koumarianos have?

Dr. Nicholas Koumarianos has 11 years of clinical experience working with adults on issues such as OCD, anxiety, stress, and life transitions.

Is Dr. Nicholas Koumarianos a licensed therapist?

Yes. He holds the credentials LPC and LMHC, which stand for Licensed Professional Counselor and Licensed Mental Health Counselor. License details include MO LPC 2025014252 and FL LMHC MH25662.

In which languages does Dr. Nicholas Koumarianos provide therapy?

Dr. Nicholas Koumarianos provides therapy in English.

Where is Dr. Nicholas Koumarianos located?

Dr. Nicholas Koumarianos is based in New Jersey.

How can I work with Dr. Nicholas Koumarianos as my therapist?

You can work with Dr. Nicholas Koumarianos through video calls, phone sessions, live chat, or text-based messaging.

Does Dr. Nicholas Koumarianos work with international clients?

Yes, Dr. Nicholas Koumarianos works with international clients.

How much does therapy with Dr. Nicholas Koumarianos 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, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started is quick and straightforward. 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 for Online Care

Dr. Nicholas Koumarianos blends client-centered work with cognitive behavioral strategies to support people in remote sessions. Client-Centered Therapy focuses on creating an empathic, nonjudgmental space where the person’s goals guide the process - it helps with self-esteem, relationship difficulties, and finding clarity during transitions.

Cognitive Behavioral Therapy (CBT) targets the links between thoughts, feelings, and behaviors and offers practical tools to reduce anxiety, manage compulsions, and change unhelpful patterns. For OCD, he applies Exposure and Response Prevention within a CBT framework to address intrusive thoughts and compulsive behaviors.

Finding the right approach is part of the therapeutic process, and Dr. Koumarianos collaborates with each person to determine which methods fit their needs, goals, and preferences. He adapts techniques over time so the work stays relevant and effective.

Online sessions are offered as video calls, phone appointments, live chat, or text-based messaging to provide flexibility for busy lives and people in different locations. These options make it easier to attend sessions consistently and to access licensed professionals when scheduling or travel would otherwise be a barrier.

Ready to start therapy with Dr. Nicholas Koumarianos?

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