Frequently Asked Questions

When should a person seek help?

You may want to consider consulting with a psychologist if you are not satisfied with some aspect of your life. If your emotions or behaviors are interfering with your quality of life, relationships, or daily functioning you should seriously consider a consultation.

Can you help me with my problems?

Contact me and we can discuss if I am the right psychologist to help you. Sometimes I cannot learn everything I will need to know to answer this question over the phone. If so, we can set up a consultation appointment for you so that we can figure it out. If for some reason, I am not the right psychologist for you, I will do my best to recommend someone who might be.

What is Psychotherapy?

There are different ways of working in psychotherapy but typically clients are seen once or twice a week for approximately 45 minutes. I work to help you identify the underlying issues that are contributing to the problems that you have sought help for. After attaining an understanding of the emotional patterns contributing to difficulties in your life, we work together to change those patterns and replace them with new ways of interacting with yourself and others.

What can I expect in the first session?

We will meet for about 45-60 minutes during the first session. This initial meeting is a little different from the sessions to follow in that a lot of your history, including the history of what you are struggling with will be obtained. The primary purpose of the first session is to get to know you and to gain an understanding of the issues at hand. Sometimes this history gathering might extend into additional sessions before the actual therapy begins. We will determine how to proceed, the frequency of treatment and scheduling.

How important is the fit or match between therapist and client?

It is very important? Research (e.g. Horvath, 2001) has shown repeatedly that the alliance between therapist and client is a significant predictor in the success of therapy. I encourage potential clients to meet with more than one therapist when deciding to begin the process of psychotherapy, and to ask potential therapists any questions about therapy that they might have. For some, it may take time to feel comfortable with a therapist and it might take a few sessions before deciding whether or not you have found a therapist that you feel you can really trust.

Is what I discuss in therapy confidential?

Rest assured that everything you discuss in therapy is confidential and cannot be discussed with anyone else without your consent. The protection of your confidentiality is taken very seriously. There are three exceptions when I am required by law to break confidentiality. These exceptions are: in the case of suspected child or elder abuse, if a client threatens serious bodily harm to another person, or if a client threatens imminent harm to him or herself.

What are the differences between a psychologist, a psychiatrist, and a psychotherapist?

A psychologist has a Doctoral degree in psychology and can provide psychotherapy and psychological testing but does not prescribe medication. A psychiatrist has a Medical degree and primarily prescribes medication and at times psychotherapy. A psychotherapist is a general term used to describe a professional who provides psychotherapy and is usually used to describe a non-doctoral therapist, such as social workers or mental health professionals.

As a psychologist, I do not prescribe medication. Many people benefit greatly from therapy alone. However, if medication in addition to therapy is most appropriate for you, I can refer you to a psychiatrist whom we can collaborate with.



  • I've had the pleasure of knowing Dr. Skoufalos for nearly a decade--she is not only an incredibly empathic and attuned psychologist, she's also one of the most kind and warm-hearted humans I've ever met. I say 'human' because that's what you can expect from Dr. Skoufalos in her clinical care--a human and humane approach to helping clients explore their deepest pains and greatest aspirations. To the clinical encounter, she brings a diverse background, a perceptive eye, mind-body awareness, and rigorous training in multiple therapeutic modalities-- all of which inform, but do not replace or obscure, her deep attentiveness to the unique person sitting in front of her. Her knowledge of many languages is perhaps the perfect metaphor for her psychotherapeutic practice--a practice that is able to speak the languages od mind, body, and soul
    — Miraj Desai, Ph.D.
  • I never hesitate to make a referral to Dr. Skoufalos. We have been colleagues for over 10 years and her compassion and intelligence set an example of the standard of care that all in the mental health profession should be aspiring to. I'm proud to be associated with Dr. Skoufalos and would refer my closest family and friends to her
    — Carrie Christensen, LCSW
  • Dr. Nicoletta Skoufalos is one of the best psychologists I've worked with. Her work is superb. Nicoletta is empathetic, knowledgeable, encouraging, and has an amazing way of making her clients feel safe, and taken care of. Her manner is both nurturing and firm -- both vital components for you as a patient to get the most out of therapy
    — Marjorie Nolan Cohn, MS, RDN
  • As a colleague of Dr. Skoufalos and clinical psychologist who has worked in several clinical settings, it is with confidence I an attest to Dr. Skoufalos skill as a therapist and ability to connect with others. She has a passion for helping people heal. Regardless of the challenges you face, she will support your path to managing your difficulties and moving toward a healthier self.
    — Isaiah Pickens, Ph.D.
  • I have known Dr. Skoufalos for nearly 11 years. In the course of that time, she has guided me through difficult moments. Dr. Skoufalos has an uncanny ability to ask the right question that always unveils the underlying issue that causes so much anxiety. Once the issue is revealed, she listens very carefully and then slowly, she brings focus to my feeling and asks me to lean into them and not ignore them. She treads carefully and with compassion never imposing judgment, but always giving true words of wisdom that help guide me through the moment to a place of acceptance and calmness reminding me that I am in control and that the only thing I have to do in breathe. Dr. Skoufalos is an amazing therapist that will help you feel calm and empowered. Highly recommended!
    — Sofia L.
  • Nicoletta is a fantastic colleague and psychotherapist. Working with her is always productive. I often refer patients to her because I know they will be in good hands
    — Molly Swersky, LCSW
  • Dr. Nicoletta Skoufalos is a highly skilled clinician, and I am proud to have her as a colleague in the field. She is genuinely invested in her clients, as she provides a warm, compassionate space that facilitates change. I often refer clients to her without hesitation, as I am confident they will be in good hands. Her natural empathic demeanor, strong clinical skills, and professionalism make her a wonderful psychologist
    — Cristina Dorazio, Ph.D.