About Nicholas
Nicholas Pantages is a Licensed Clinical Social Worker (LCSW) based in Missouri. He brings seven years of clinical experience to sessions and focuses on practical steps people can take when anxiety, depression, stress, grief, or life changes feel overwhelming. Nicholas uses straightforward, skills-based work to help people manage strong emotions and daily struggles.
He leans on methods like cognitive behavioral techniques and dialectical skills to build coping tools. He also draws on acceptance-based ideas to help people make room for difficult feelings without getting stuck by them.
Background and approach
In session, Nicholas aims to build a reliable working relationship. He prefers a team approach that highlights the client’s strengths and values. Together he and the client set small, achievable goals and try out strategies between meetings.
He has experience addressing mood disorders, addictions, sleep problems, caregiver stress, and challenges related to aging. He also supports people dealing with relationship issues, parenting strain, career stress, and identity concerns within the LGBT community. Nicholas incorporates trauma-focused work when needed, using EMDR alongside other approaches to address past hurt.
He emphasizes steady progress over time, recognizing that change can be slow but realistic steps add up. Clients typically work on skills for emotion regulation, problem-solving, and behavior change. Nicholas encourages practical exercises and brief coaching between sessions to reinforce new habits and build a more satisfying day-to-day life.
How targeted approaches fit with online therapy
Acceptance and Commitment Therapy (ACT) helps people connect to what matters and take action consistent with their values even when feelings are difficult. It can be useful for anxiety, stress, and life transitions where avoidance gets in the way. Cognitive Behavioral Therapy (CBT) breaks down thoughts, feelings, and behaviors to find patterns to change. It is helpful for anxiety, depression, sleep problems, and unhelpful habits. Eye Movement Desensitization and Reprocessing (EMDR) is a trauma-focused method that addresses painful memories and the ways they continue to affect daily life; it is sometimes used alongside other therapies for trauma and abuse.Finding the right approach is part of the work. Nicholas will collaborate with each person to decide which methods suit their needs, goals, and preferences. He adapts skills and exercises so they fit the client’s pace and what they want to achieve rather than following one set program.
Online sessions offer flexibility and make it easier to fit therapy into a busy life. Video calls are useful for full conversations and guided exercises. Phone sessions can work when a video connection is not possible or a shorter check-in is needed. Live chat and text-based messaging let people share updates, try short coaching tasks, or check in between meetings. These options help people keep momentum and practice skills in real time while fitting therapy into day-to-day schedules.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Family conflicts
- Grief
Also listed
- Addictions
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Avoidant personality
- Bipolar disorder
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Coaching
- Commitment issues
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Emptiness
- Fatherhood issues
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Impulsivity
- Isolation / loneliness
- LGBT
- Life purpose
- Mood disorders
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Workplace issues
Therapeutic approaches
- Experience
- 7 years
- Licensed
- Missouri
- Languages
- English
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