Find a therapist in Syracuse, NY — covered by insurance

Gold coast wellness helps the child and adult who has been anxious since COVID-19. Be the star of the classroom or workplace by providing a community-centric approach to care.

Maybe you aren't getting as much joy from spending time with their loved ones, or the sunset doesn’t feel as striking as it once did.

We'll use a gentle, collaborative approach to help you explore your thoughts without judgment.

You can expect open communication, respect, and individualized care focused on helping them achieve lasting emotional balance and improved daily functioning.

Working with teachers, families, guidance counselors, and pediatricians."

Hi, I'm Nicole Picarello, a Licensed Clinical Social Worker with 4 years of experience providing mental health counseling. I help adolescents and adults work through past and present struggles that impact their mental health using an integrative approach that tailors counseling to each persons specific needs. Modalities include talk therapy, CBT, meditation, stress management, and more.

I have been practicing as a Social Worker for over 38 years. I have a lot of experience in the areas of behavioral health services which includes a host of treatment focus areas and chemical dependency. I am energetic and enthusiastic about my work with clients. I am currently accepting new clients at this time. I like to incorporate in my work with clients self expression and self exploration. Outside of my work I love to engage in dance therapy, exercise for fitness, reading and sewing.

You’re successful on the outside—but inside, something still feels stuck. You’ve done the work. You understand your patterns. You know what should help. And yet, anxiety, burnout, overwhelm, or old emotional loops keep showing up. It can feel frustrating, even discouraging, to have so much insight but still feel like you can’t fully shift.

If this sounds familiar, you’re not alone—and you’re not broken. Many of the people I work with are high-functioning, self-aware individuals who feel caught in what I call a “mental and nervous system loop”—where insight alone isn’t enough to create real, lasting change.

This is where our work begins.

As a board-certified mental health counselor with over five years of experience, I’m passionate about helping individuals live as their most authentic and fulfilled selves. I believe that prioritizing mental health is one of the most meaningful investments you can make in your life. My goal is to create a supportive and collaborative space where you feel understood, empowered, and ready to grow.

I am a board-certified Psychiatric Nurse Practitioner with 2 years of advance psychiatric practice and a total of 15 years of experience in healthcare. I specialize in evidence-based care for adults living with anxiety, depression, ADHD, stress, and life transitions, combining thoughtful medication management with practical strategies that help clients build a deeper understanding of their mental health.

In addition to my clinical practice, I am an author and whole-body wellness advocate. My book, BePurBold: A Woman's Journey to Whole Body Wellness, reflects my belief that lasting mental health is rooted in lifestyle, resilience, and whole-person well-being. My goal is to offer a supportive, non-judgmental environment where clients feel heard, valued, and active partners in their own care.