Online Therapy for Thoughtful Adults and Couples Across 43 States via PSYPACT

I help thoughtful, high-functioning adults and couples who feel overwhelmed by anxiety, ADHD, grief, perfectionism, or relationship stress, and who want grounded, emotionally attuned therapy that fits real life.

I’m Dr. Nichole Vincent, PsyD, a licensed clinical psychologist who provides online therapy to adults and couples across 43 PSYPACT participating states.

I work with people who appear high-functioning on the outside, but feel overwhelmed, exhausted, or internally stretched thin on the inside. Many of the clients I work with are capable, insightful, and used to holding things together. They often manage careers, relationships, and responsibilities well enough that others don’t see how heavy things feel internally.

By the time they reach out, they’re often dealing with anxiety that won’t quiet down, ADHD-related overwhelm, grief that hasn’t had space to land, perfectionism that never lets them rest, or relationship patterns that keep repeating despite their best efforts.

Learn more about me

This work is often a good fit if you:

  • Feel chronically overwhelmed or internally scattered despite “doing well” on paper

  • Tend to overthink, self-pressure, or carry responsibility for everyone else

  • Are navigating anxiety, ADHD, grief, perfectionism, burnout, or relationship stress

  • Have tried coping strategies or short-term fixes and want deeper, more sustainable change

  • Want therapy that helps you understand patterns, not just manage symptoms

I work best with adults and couples who are open to reflection, collaboration, and ongoing therapy, and who want support that feels both emotionally attuned and practically useful.

Who This Work Is a Good Fit For

Schedule your free 15 minute consult

When This May Not Be the Best Fit

Working with me may not be the best fit if you’re:

  • Looking for crisis or emergency services

  • Seeking care for active suicidality

  • In need of court-ordered treatment

  • Looking for higher-level or intensive services

  • Seeking a highly manualized, one-size-fits-all approach

  • Looking for insurance-based care

If you’re unsure, a brief consultation can help clarify fit.

Schedule a free 15-min consult

Why Clients and Referrers Often Choose Me

I’m often a good fit for people who:

  • Feel like they “should be fine” but aren’t

  • Are tired of surface-level fixes

  • Want a therapist who is warm, direct, and clinically grounded

  • Value depth, nuance, and psychological understanding

Colleagues tend to refer to me when clients want thoughtful, relational work with a therapist who can hold complexity without rushing toward quick answers.

Practical Details

  • Licensure: Licensed Clinical Psychologist

  • Authorization: PSYPACT

  • States Served: Clients located in 43 PSYPACT participating states

  • Population: Adults and couples

  • Format: Online therapy only (secure, HIPAA-compliant telehealth)

  • Payment: Private pay

  • Getting Started: Free 15-minute consultation available to assess fit

schedule a free consult

Where to Go Next:

If you’re exploring support around:

Clear Next Steps

You don’t need certainty.
You just need a starting point.

If you’re curious about working together, the next step is a free 15-minute consultation to see if we’re a good fit.

Before you reach out, here’s a quick note about scope and safety: Online counseling is not appropriate for all concerns. This practice does not provide crisis or emergency services, care for active suicidality, court-ordered treatment, or higher-level/intensive services.

If you are in crisis or experiencing suicidal thoughts, please seek immediate help by calling 911, going to your nearest emergency room, calling the National Suicide Prevention Lifeline at 1-800-273-8255, or texting HOME to 74741 to connect with a Crisis Counselor.

Schedule a free 15 minute consult