Gabrielle Pikoulas, LMHC

Gabrielle Pikoulas helps people who are feeling overwhelmed by stress, anxiety, anger, low self-esteem, or big life changes. She is a licensed mental health counselor in New York with 19 years of experience. Gabrielle writes short, direct plans so you know what to expect from sessions.

She focuses on practical steps that can change day-to-day life. That can mean using Cognitive Behavioral Therapy to spot and shift unhelpful thoughts and routines, or drawing on client-centered work to make space for each person's story. She also uses emotionally-focused ideas when relationships and connection are central concerns.

Gabrielle adjusts conversations and plans to fit each person's needs. She listens first, then outlines simple skills and goals to try between sessions. Sessions can include problem-solving, emotion coaching, and coping techniques for sleep, eating, or substance-related worries.

Her experience includes a wide range of issues such as grief, trauma and abuse, parenting strain, career stress, compassion fatigue, and ADHD-related challenges. She supports people navigating intimacy, relationship strain, and identity concerns like those in the LGBT community.

Gabrielle presents a calm, respectful approach and aims to make therapy a straightforward process. She encourages small, manageable changes and checks progress regularly so plans stay relevant and useful.

How Gabrielle’s Approaches Work Online

Gabrielle uses Cognitive Behavioral Therapy to help people notice the thoughts and routines that keep problems active and to try new, concrete behavioral experiments. CBT is useful for anxiety, low mood, and sleep or eating concerns.

She also draws on client-centered methods that prioritize the person's experience and goals. That approach means sessions start with listening and validating, then move toward the skills or changes the person wants to make. Emotionally-Focused Therapy is used when relationship patterns and emotional connection are central, helping people identify and shift how they respond to one another.

Finding the right approach is part of the work. Gabrielle will collaborate with each person to decide which methods fit their goals and preferences. She adjusts session focus over time based on what helps most and what feels manageable.

Online sessions are offered by video call, phone, live chat, or text-based messaging to make therapy easier to fit into busy lives. Video works well for in-depth conversations, phone can be a simpler option that uses less bandwidth, and messaging supports short check-ins or ongoing coaching between appointments. These formats provide flexibility for different schedules and communication styles.