About Nilson
Nilson Mejia is a licensed mental health counselor (LMHC) based in New York who helps people cope with anxiety, stress, and life changes. He offers straightforward listening and practical steps so clients can feel understood and move toward clearer goals. Sessions are offered in English and Spanish to match client preference.
Nilson uses tools from Cognitive Behavioral Therapy and Dialectical Behavior Therapy alongside client-centered listening. He helps people notice unhelpful thoughts, try small behavior changes, and practice grounding skills.
Background and approach
The work often focuses on day-to-day coping with anxiety, mood shifts, or relationship and parenting stress. Over five years of practice, he has supported people facing depression, ADHD challenges, career pressures, and identity concerns like shame or isolation. He also addresses specific issues such as communication problems, impulsivity, body image, and forgiveness.
Therapy can include short-term goals or longer conversations depending on what the person needs. Sessions can happen by video, phone, live chat, or text messaging to fit different schedules. Nilson describes therapy as a collaborative process where the client’s priorities guide each step.
He invites people to tell their story and works with them to identify practical changes that feel achievable. People looking for help are encouraged to consider which goals matter most to them. Nilson aims to create clear, manageable plans and to teach skills clients can use between sessions.
How therapeutic approaches translate to online care
Client-centered therapy focuses on listening with empathy and following the client’s priorities. In practice this means the therapist reflects what the client says, asks clarifying questions, and lets the person set the pace and goals. Cognitive Behavioral Therapy (CBT) helps people spot unhelpful thoughts and test new behaviors to reduce anxiety and depressive symptoms. Sessions often include homework tasks like thought records or behavior experiments. Dialectical Behavior Therapy (DBT) teaches concrete skills for managing intense emotion, distress tolerance, and improving interpersonal effectiveness, which can be helpful for impulsivity, anger, and relationship strain.Finding the right approach is a collaborative process. The therapist will talk with the client about their goals, try methods that fit those goals, and adjust over time based on what helps. Clients and therapist work together to pick techniques that feel useful and realistic for everyday life.
Online therapy makes these methods accessible across formats. Video calls are useful for full face-to-face conversation and skills practice. Phone sessions can be simpler when bandwidth is limited or the session needs to be shorter. Live chat and text-based messaging allow brief check-ins, coaching-style support, or step-by-step exercises between longer sessions. These options offer flexibility so therapy can fit work, parenting, and other responsibilities.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Family conflicts
- Self esteem
Also listed
- ADHD
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Body image
- Career difficulties
- Coaching
- Codependency
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Emptiness
- Family problems
- Fatherhood issues
- Forgiveness
- Guilt and shame
- Impulsivity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Obsessions, compulsions, and OCD
- Parenting issues
- Relationship issues
- Self-love
- Social anxiety and phobia
Therapeutic approaches
- Experience
- 5 years
- Licensed
- New York
- Languages
- English, Spanish
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