Nilson Mejia, LMHC

Nilson Mejia is a Licensed Mental Health Counselor (LMHC) based in New York who supports people navigating anxiety, depression, low self-esteem, relationship and family concerns, and other life transitions. He approaches each person with a listening stance, seeking to understand an individual's story and what they most need from therapy. Using a blend of Cognitive Behavioral Therapy, psychoanalytic ideas, and Brief Solution-Oriented techniques, he helps clients clarify patterns, identify practical steps, and work toward measurable goals.

Nilson prioritizes collaboration, creating space for clients to describe their experiences while offering tools to manage stress, ADHD symptoms, parenting and fatherhood challenges, anger, career decisions, and issues around intimacy and attachment. He works with mood-related conditions including bipolar challenges and disruptive mood dysregulation, and he addresses relational dynamics such as codependency, communication problems, jealousy, and forgiveness. Sessions aim to make sense of difficult emotions and to develop concrete coping strategies that fit each person’s life.

Fluent in English and Spanish, Nilson combines evidence-based interventions with empathic support to help people move toward clearer goals and improved day-to-day functioning. He invites prospective clients to share their concerns so they can determine the best path forward together.

Therapeutic Approaches and Online Care

Nilson integrates Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), and Dialectical Behavior Therapy (DBT) into his online practice to meet different needs. Client-Centered Therapy focuses on empathetic listening and creating a collaborative space where clients lead the conversation and explore what matters most to them - it can help with relationship concerns, self-esteem, and life direction. CBT offers concrete strategies to identify and shift unhelpful thoughts and behaviors, making it useful for anxiety, depression, stress, and ADHD-related challenges. DBT teaches emotion regulation, distress tolerance, and interpersonal skills, which are especially helpful for intense emotions, impulsivity, and relationship conflicts.

Choosing the right approach is part of the therapeutic journey. Nilson works together with each person to assess goals, preferences, and strengths, tailoring methods over time so therapy fits the individual rather than forcing a single model. This collaborative stance helps clarify which tools will be most useful for the concerns presented.

Online therapy with Nilson is offered via video calls, phone sessions, live chat, or text-based messaging to increase flexibility and access. These options make it easier to fit sessions into busy schedules, maintain continuity during life changes, and access licensed professionals from different locations, all while allowing therapists to adapt methods to the format that works best for each client.