Individual Therapy · New York
Individual Therapy in New York City
I help high-functioning adults in New York work through the anxiety, perfectionism, and burnout beneath a life that looks, from the outside, like it’s working.
I’m a Licensed Clinical Social Worker (LCSW) offering private, in-person individual therapy on Fifth Avenue in Manhattan, and online across New York, New Jersey, and Connecticut.
Licensed Clinical Social Worker (LCSW) · New York
At a Glance
Individual therapy — scope at a glance
Who it's for
High-functioning adults (18+)
What it helps with
Anxiety · perfectionism · burnout · life under scrutiny
How I work
DBT · CBT — reflective, honest, accountable
Where I'm licensed
New York (in person + online)
Format
Private, by referral & inquiry
i. · Who Finds Their Way Here
The people I work with rarely look like they need help.
They’re the ones others rely on. Outwardly composed, high-achieving, often visible — and privately carrying far more than they let show. Much of my New York practice is people who recognize themselves in patterns like these:
• Adults who appear high-functioning but feel chronically overwhelmed
• Public-facing people managing anxiety about perception, privacy, and reputation
• High performers whose perfectionism has tipped into burnout
• People who’ve tried therapy before but were never told the truth about their patterns
• Public-facing people managing anxiety about perception, privacy, and reputation
• High performers whose perfectionism has tipped into burnout
• People who’ve tried therapy before but were never told the truth about their patterns
ii. · How I Work
Grounded in research. Honest in the room.
My individual work is grounded in evidence-based methods — Dialectical Behavior Therapy (DBT) and Cognitive Behavioral Therapy (CBT). But method is only half of it. People come to me, and stay for years, because I’m willing to say what I’m observing and hold them accountable to the change they say they want. Not to judge — to reflect back what’s really happening, so you can live the life you actually want rather than the one that looks right from outside.
iii. · Is This the Right Fit?
Clear about who this is — and isn't — for.
Being clear about scope helps the right clients find me, helps referral sources trust the fit, and keeps the work focused.
A good fit for
• Adults (18+) seeking private, outpatient individual therapy
• High-functioning people navigating anxiety, perfectionism, or burnout
• Public figures and professionals who need genuine discretion
• People who want honest reflection and accountability, not just a place to vent
• High-functioning people navigating anxiety, perfectionism, or burnout
• Public figures and professionals who need genuine discretion
• People who want honest reflection and accountability, not just a place to vent
Not the right fit for
• Children or adolescents (I work with adults only)
• Anyone in crisis or needing urgent/emergency care
• Situations needing recent-hospitalization or higher-level care
• Court-mandated treatment or custody evaluations
• Anyone in crisis or needing urgent/emergency care
• Situations needing recent-hospitalization or higher-level care
• Court-mandated treatment or custody evaluations
If you’re in crisis or need urgent help, please call or text 988 (Suicide & Crisis Lifeline) or dial 911. This practice is outpatient and not monitored for emergencies.
Your Therapist
Nicole Trister, LCSW
Licensed Clinical Social Worker (LCSW) · New York
I’m a New York psychotherapist offering concierge individual and couples therapy for high-functioning, high-profile clients. My practice is grounded in DBT, CBT, and the Gottman Method. As a former competitive gymnast and a lifelong runner, I understand first-hand that having it together doesn’t mean not needing help — and I’m willing to hold up an honest mirror, which is why my clients tend to stay with me for years.
My credentials & focus: LCSW (New York) · Individual & couples therapy · Anxiety, perfectionism & burnout · DBT · CBT · Gottman Method · In person at 276 Fifth Avenue, New York, and online across NY, NJ & CT.
Connect
iv. · Questions
Individual therapy in New York — FAQ
How do I know if this type of anxiety therapy is right for me?
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How do I know if this type of anxiety therapy is right for me?
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How do I know if this type of anxiety therapy is right for me?
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If this is the individual therapy you've been unable to find, let's talk.
Consultations are held privately and by inquiry. There is no waiting room, and no obligation.