About E.
E. Troy Nielsen is a licensed mental health counselor who helps people who are feeling overwhelmed by stress, anxiety, addiction struggles, low self-esteem, relationship concerns, or depression. He keeps conversations straightforward and focuses on practical steps clients can use between sessions.
He speaks English and practices in Florida as an LMHC and LCMHC with two decades of experience. He uses a collaborative style that adapts to each person’s needs. Sessions start with what feels most urgent and build toward clearer coping skills and better daily routines.
Background and approach
He aims for respectful, sensitive interactions that treat each person as an individual. Many clients work on reducing anxiety, breaking cycles of substance use, or improving communication in close relationships. He also helps people dealing with adoption or foster care questions, caregiving stress, issues around commitment and codependency, and challenges related to aging or family changes.
His main clinical approach is Cognitive Behavioral Therapy, which focuses on changing unhelpful thoughts and behaviors through practical exercises. Over time, clients often practice small changes that add up to steadier moods and clearer choices. Sessions are tailored to pace and preference.
The therapist will shape the plan around what matters most to the client, offering concrete tools and straightforward feedback. He emphasizes steady progress rather than quick fixes.
How CBT and online sessions work together
CBT, or Cognitive Behavioral Therapy, focuses on identifying thoughts and behaviors that get in the way of feeling better and replacing them with more helpful ones. It often involves short exercises, behavioral experiments, and homework tasks that help people practice new skills between sessions. This approach can be useful for anxiety, depression, stress, and some addiction-related patterns.Therapy in this practice is collaborative. The therapist works with each person to decide which methods fit their goals and lifestyle. That might mean using CBT techniques most of the time or blending in other practical tools based on progress and preferences.
Online formats make it easier to keep therapy consistent. Video calls allow face-to-face conversation and visual cues. Phone sessions can be a good option when an internet connection is limited or when someone prefers not to be on camera. Live chat and text-based messaging let clients check in quickly, do focused homework, or have shorter touchpoints between longer sessions. These options help people fit therapy into work, caregiving, or busy days while keeping the focus on real, usable skills.
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Relationship issues
Also works with
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Blended family issues
- Caregiver issues and stress
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Dependent personality
- Depression
- Divorce and separation
- Drug and alcohol addiction
- Emptiness
- Family problems
- Fatherhood issues
- Forgiveness
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Jealousy
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Post-traumatic stress
- Self esteem
- Self-harm
- Self-love
- Sexuality
- Social anxiety and phobia
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 20 years
- Licensed
- Florida, Utah
- Languages
- English