On being seen
You've perfected how the world sees you.
This is where the rest gets the same attention. Anxiety, OCD, perfectionism, and couples — held privately, held to your standard.
276 Fifth Avenue, New York
i. · The Practice
A life that looks, from the outside, like it's working.
That’s often the problem. The same precision that built the career, the image, the relationship tends to run quietly underneath it — with nowhere to set it down.
Here, there is.
ii. · What I Treat
Clinical work, held to a private standard.
01
Anxiety
CBT · ACT
Anxiety that hides behind competence — the kind that reads as drive until it stops letting you sleep.
02
Perfectionism & Burnout
Sustainable performance
The engine that built the career is often the one running you into the ground.
03
Individual Therapy
DBT · CBT
Honest, reflective work for people carrying more than they let show.
04
Couples
Gottman Method
A structured, evidence-based approach for two people whose lives are anything but private.
iii. · Who I Work With
For people whose lives are only surface-deep from the outside.
The people I work with need discretion and live visible, high-profile lives — performers, comedians, athletes, founders, public figures — navigating private worries about perception, privacy, relationships, and consequential decisions. Having it together doesn’t separate you from needing help. Sometimes it just makes it harder to ask.
iv. · In Their Words
Shared, with permission and in confidence.
Out of respect for privacy, testimonials are anonymized and shared only with consent. Replace the placeholders below with real, permitted quotes.
"She says what other people won't. It's the first time therapy actually changed something instead of just making me feel heard."
A client · individual work
"We came in barely speaking. The honesty in that room did more for us in months than years of trying on our own."
A couple · Gottman work
"I've stayed for years because she holds me to what I said I wanted, gently and without letting me off the hook."
A client · long-term
"Discreet, sharp, and genuinely warm. She understood the pressure of a public life without me having to explain it."
A client · public figure
v. · About
I know this from the inside.
I’m Nicole Trister, a licensed psychotherapist in New York. My work is grounded in research — DBT, CBT, and the Gottman Method — and in a willingness to hold up a mirror. From competitive gymnast to runner, I’ve learned that having it together doesn’t mean not needing help.
vi. · How It Works
Care shaped around your circumstances.
i
Discretion first
Care shaped around the privacy your life requires. What is said here stays here.
ii
On your schedule
Sessions arranged around your life — in person at Fifth Avenue, or wherever discretion requires.
iii
A considered fit
We begin with a private consultation, to be sure the fit is right in both directions.
If this is the care you've been unable to find, let's talk.
Consultations are held privately and by inquiry.