Nick Tomasello, LMFT
Licensed Marriage & Family Therapist #141543
Specialties & Focus Areas
- LGBTQ+ and TGNB support
- Identity exploration
- Depression
- Life transitions
- General and social anxiety
- Social/communication skills
Who Nick Works With
- Teens (approx. ages 15–18)
- Young adults (18–24)
- Parents seeking suppor
About Nick
Nick Tomasello is a Licensed Marriage and Family Therapist who brings energy, authenticity, and genuine care to his work with teens and young adults. With a Master’s in Counseling Psychology from Santa Clara University and specialized training in supporting the LGBTQIA+ community, Nick is passionate about helping young people navigate identity, transition, relationships, anxiety, and emotional overwhelm.
Nick practices in California through virtual sessions, with in-person sessions in the Sacramento area coming soon.
Nick Tomasello is a Licensed Marriage and Family Therapist who brings energy, authenticity, and genuine care to his work with teens and young adults. With a Master’s in Counseling Psychology from Santa Clara University and specialized training in supporting the LGBTQIA+ community, Nick is passionate about helping young people navigate identity, transition, relationships, anxiety, and emotional overwhelm.
Nick practices in California through virtual sessions, with in-person sessions in the Sacramento area coming soon.
His therapeutic style is warm, collaborative, and grounded in the belief that the relationship between therapist and client is a powerful space for healing. Nick meets clients exactly where they are and supports them in growing into who they want to become, at a pace that feels safe, steady, and meaningful.
Nick also works with individuals navigating:
- Relationship problems
- School avoidance
- Self-esteem challenges
- Self-harm and suicidal thoughts (non-crisis)
- Stress management
- Sports anxiety
- Attention difficulties / ADHD
- Body image concerns
- Perfectionism
- Procrastination + motivation issues
- Loneliness, shyness, and social withdrawal
Identity, Cultural Humility, & the Therapy Space
Nick is intentional about acknowledging the role his identity plays in the therapeutic relationship. As a straight, white, cisgender man, he recognizes these identities come with historical weight and power dynamics that impact how clients may feel in the room.
By naming this openly, Nick creates opportunities for:
- Culturally humble dialogue
- Transparency and trust
- Corrective emotional experiences
- A more authentic therapeutic connection
Therapeutic Approach
Nick practices primarily from a client-centered perspective, meaning he sees the client as the expert in their own experiences. He collaborates closely with clients to identify goals that feel relevant, achievable, and meaningful.
Nick pulls from multiple modalities to create an approach that fits each person:
- Client-centered therapy
- Cognitive Behavioral Therapy (CBT + trauma-informed CBT)
- Dialectical Behavior Therapy (DBT)
- Solution-focused therapy
- Motivational interviewing
- Mindfulness practices
- Crisis intervention
- Gender-affirming clinical model
Life Outside the Therapy Room
Playing video games and tabletop/board games
Enjoying time with cats (and manatees, his favorite animal)
Going on slightly strenuous hikes
Spending quality time with close friends
Exploring new restaurants as a devoted foodie
Work With Nick
If you’re looking for a therapist who is authentic, warm, culturally aware, and deeply committed to supporting LGBTQIA+ youth and young adults, Nick may be a wonderful fit.
