Nikki

Nikki Pagano

Licensed Clinical Social Workers

“I have been fortunate to train under experts in the areas of eating disorders, anxiety, OCD, and selective mutism.”

About Me

I am an LCSW, fortunate to have trained under experts in eating disorders, anxiety, OCD, and selective mutism. This background means I deeply understand these specific challenges. We can explore your experiences together, helping you understand patterns and find practical ways forward. My aim is to create a safe space where you feel heard, guiding you towards greater ease and confidence.

Approach

Those trainings inform how I structure sessions—practical, paced to your needs, and focused on small, doable shifts. Whether we meet in my Charlotte office or online, sessions combine focused conversation, skill practice, and collaborative tracking so you leave with clear next steps and we can review progress together. I often invite family members or caregivers into parts of the work when it supports safety and change, and I use brief between-session experiments to build confidence. This way of working tends to help adolescents, caregivers, and adults seeking steadier ground.
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Basic Information

In-person & Online

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Services

Services Offered:

  • Child / Adolescent Therapy

    Therapy for children and teenagers using age-appropriate methods, such as play, art, or adapted talk therapy, to address emotional and behavioural difficulties.

    Learn more about Child / Adolescent Therapy
  • Online Therapy

    Therapy sessions conducted over video call, phone, or secure messaging, using the same professional methods delivered remotely.

    Learn more about Online Therapy
  • CBT

    Cognitive Behavioural Therapy, a structured, evidence-based approach that identifies and changes unhelpful thinking patterns and behaviours.

    Learn more about CBT
  • Group Therapy

    Therapy conducted with a small group of people who share similar concerns, using peer interaction and diverse perspectives as part of the healing process.

    Learn more about Group Therapy
  • Adolescent Therapy

    Therapy designed for teenagers, using age-appropriate methods to address issues like anxiety, identity, peer pressure, and family conflict.

    Learn more about Adolescent Therapy
  • Family Therapy

    A form of therapy that works with family members together to improve communication, resolve conflict, and strengthen relationships within the family system.

    Learn more about Family Therapy
  • Individual Therapy

    One-on-one therapy sessions between a client and a therapist, focused on that person's specific concerns and goals.

    Learn more about Individual Therapy

Works With:

  • Adolescents
  • Adults
  • Children
  • Families
  • Groups
  • Individuals
  • Parents

Area of Expertise

Scope of Practice:

  • Adolescent Therapy

    Therapy designed for teenagers, using age-appropriate methods to address issues like anxiety, identity, peer pressure, and family conflict.

    Learn more about Adolescent Therapy
  • Anxiety

    Persistent worry, nervousness, or fear that is disproportionate to the situation and interferes with daily functioning.

    Learn more about Anxiety
  • Phobias

    Intense, irrational fears of specific objects or situations, such as flying, heights, or spiders, that lead to avoidance and limit daily life.

    Learn more about Phobias
  • Body Image

    How a person perceives, thinks, and feels about their physical appearance. When persistently negative, it can drive distress, avoidance, and disordered eating.

    Learn more about Body Image
  • Eating Disorders

    A group of conditions, including anorexia, bulimia, and binge eating, involving disturbed eating behaviours and a distorted relationship with food and body image.

    Learn more about Eating Disorders
  • Life Transitions

    Major life changes, such as relocation, retirement, parenthood, or career shifts, that disrupt routine and require psychological adjustment.

    Learn more about Life Transitions
  • OCD

    Obsessive-Compulsive Disorder, a condition involving unwanted, intrusive thoughts (obsessions) and repetitive behaviours or rituals (compulsions) performed to relieve anxiety.

    Learn more about OCD

Professional Title:

  • Licensed Clinical Social Workers

    A social worker licensed to provide clinical therapy, diagnosis, and treatment for mental health conditions.

Credentials

Registrations

Board of Clinical Social Work; Marriage & Family Therapy And Mental Health Counseling

Licensed Clinical Social Worker

Qualifications

Columbia University

Service Areas

Nikki Pagano, LCSW

In-person & Online

Charlotte, North Carolina

United States

Charlotte, United States