Nick Livingston, LPC

Nick Livingston is a Licensed Professional Counselor (LPC) based in Oklahoma who helps people manage stress, anxiety, addictions, and self-esteem concerns. He works with adults, teens, and children and aims to make sessions clear and practical. Nick focuses on building a respectful working relationship and finding small, usable changes clients can try between meetings.

He uses Cognitive Behavioral Therapy, which looks at how thoughts, feelings, and actions connect, and Client-Centered methods that emphasize listening and collaboration. Dialectical Behavior Therapy skills and mindfulness techniques are available when people need tools to regulate emotion or stay present. Nick emphasizes simple, step-by-step strategies rather than jargon-heavy explanations.

Nick has seven years of professional experience as an LPC in Oklahoma. He brings experience supporting people with ADHD, trauma and abuse, grief, bipolar mood concerns, and compassion fatigue. He also works with intimacy-related issues, sleep troubles, parenting stress, career changes, and body image concerns.

He has additional experience with adoption and foster care questions, attachment issues, caregiver stress, chronic illness, and sexual diversity including BDSM and kink topics. He also discusses medication choices openly, including medical marijuana, when clients bring them up as part of care.

Sessions are offered in English and can take place by video call, phone, live chat, or text messaging. New clients begin by completing a short matching questionnaire and scheduling a session through the Start Therapy button.

How therapy approaches translate to online care

Nick commonly uses Cognitive Behavioral Therapy, which focuses on identifying unhelpful thoughts and testing small behavior changes to reduce symptoms like anxiety and low mood. That approach works well for goal-focused online sessions where homework and tracking can be shared between meetings.

He also draws on Client-Centered Therapy, which centers on listening, empathy, and collaboration so clients feel heard and can set their own goals. Dialectical Behavior Therapy skills are used when clients need concrete tools for emotion regulation, distress tolerance, and improving communication with others.

Figuring out the right approach is part of the work. Nick will talk with each person about their needs and preferences and decide together whether to emphasize CBT exercises, skill training, mindfulness, or a mix of methods. This collaborative planning happens over early sessions and can change as goals evolve.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video sessions are good for face-to-face conversation and skill demonstrations. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and messaging let clients send notes, try brief coaching, or check in between sessions for quick support. These options make scheduling more flexible and help therapy fit into busy lives.