Individual Therapy
Anxiety, trauma, self doubt, grief, identity, and those moments when life looks different from what you expected.
Sometimes you know exactly what feels wrong. Other times, you just know something needs to change. We can make sense of what is happening, explore the patterns that keep showing up, and find a way forward that feels right for you.
Online therapist serving Massachusetts, Rhode Island, Maine, Vermont, Florida and Utah

You might be working through something recent, carrying something for years, or simply feeling stuck. We will start with what matters most to you.
Anxiety, trauma, self doubt, grief, identity, and those moments when life looks different from what you expected.
Recurring arguments, distance, broken trust, and big transitions. We can look at what is happening between you and what needs to change.
Desire differences, sexual concerns, intimacy, and boundaries. Conversations that can feel awkward deserve curiosity, care, and honesty.

I'm a Licensed Independent Clinical Social Worker with 13 years of experience helping individuals and couples navigate relationships, anxiety, trauma, identity, and life's more complicated moments.
My approach is warm, interactive, and direct, with a little humor when it fits. Therapy with me is a conversation, not just a place to sit and nod.
I'm sex-positive, LGBTQIA+ affirming, kink-affirming, and supportive of polyamory, consensual non-monogamy, and diverse relationship structures. You can talk openly about your experiences, sexuality, identity, and relationships without judgment or assumptions.
Whether you're working through a relationship rupture, questioning long-standing patterns, or looking for a stronger connection with yourself or others, we'll approach the work with curiosity, honesty, and compassion.
I accept private pay and select insurance plans. Coverage can vary by state, plan, and type of session, so we will confirm the details before scheduling.
Individual therapy and couples therapy
Sliding scale may be available for eligible clients.
Insurance accepted: Aetna, Blue Cross Blue Shield, Harvard Pilgrim Health Care, Tufts Health Plan, and UnitedHealthcare (UHC/UBH).
Coverage and costs depend on your plan, location, and type of session. Please confirm benefits before booking.
All sessions are virtual. You must be physically located in Massachusetts, Rhode Island, Maine, Vermont, Florida, or Utah and eligible for care at the time of your appointment.
Absolutely. I welcome individuals and partners across relationship styles, including polyamorous and consensually nonmonogamous relationships.
Yes. We can start with a free 15 minute consultation to talk about what you are looking for, answer your questions, and see if the fit feels right.
Coverage varies depending on your specific plan, your location, and whether you are seeking individual or couples therapy. Please confirm your benefits before booking. I can help clarify what information you may need.
That is okay. A brief message saying you are interested in therapy or a consultation is enough to get the conversation started. Please avoid including sensitive health information in regular email.
Finding the right therapist should not depend on living near an office. I offer virtual individual therapy and couples counseling for eligible clients physically located in Massachusetts, Rhode Island, Maine, Vermont, Florida, and Utah.
Whether you are searching for an online therapist in Massachusetts, a couples counselor in Rhode Island, or virtual counseling in Maine, Vermont, Florida, or Utah, sessions are held online. My work focuses on anxiety, trauma, relationships, identity, grief, intimacy, and life transitions.
Availability, licensure eligibility, and insurance coverage vary by state and plan.
You do not need a perfect explanation for why you are reaching out. A quick conversation is enough to see if we might be a good fit.
We can talk about what brings you here, what you are hoping to get from therapy, and any questions you have about working together. There is no pressure to schedule. The first 15 minute consultation is free.
cayleenickleylicsw@protonmail.com
Please do not include private clinical information in regular email. This website is not monitored for emergencies. If you are in immediate danger, call 911. For crisis support in the United States, call or text 988.