You have arrived at Betterhelp which means you are searching for a way to address some issues you have already identified are there. You have taken the first step and you should feel proud of yourself for being here! Connecting to the right counselor can be an overwhelming task. I'd like to explain more about myself to help you in that decision.
I have been in the field of social work for over 20 years and I hold a license as a Licensed Clinical Social Worker. I work from a strengths-based, solutions-focused, client-centered approach. Meaning that I firmly believe in the capacity for individuals to solve their own problems - they just may need a little push and direction in seeing the goals and how to obtain them. I have worked within all areas of social work practice to include public, private, and non-profit. My specialty areas of practice are abuse and neglect, anxiety/depression, work/life balance, mood disorders, co-dependency issues, and issues related to military, veterans, and dependents. The feedback I receive from clients are that they find me caring and upfront, the communication is more of a collaboration, and I assist well with identifying issues and helping to identify possible ways to navigate the situations, learn about yourself, and interact with the world.
My work hours are typically Monday-Thursday between 5a-330p EST. I do not typically work on the weekends; however, I do typically check messages at least once.
I know how difficult it is to find a counselor you can connect with and feel secure in talking about your concerns, but I'd be honored to offer that support as you work through your journey.
Professional experience
25 yrs in practice
Stress, AnxietyRelationshipsTrauma, AbuseAnger managementCoping with life changes
Additional areas of focus:Addictions, Grief, Intimacy-related issues, Parenting issues, Self esteem, Career difficulties, Bipolar disorder, Depression, Compassion fatigue, Abandonment, Aging and geriatric issues, Attachment issues, Blended family issues, Caregiver issues and stress, Codependency, Commitment issues, Communication problems, Control issues, Divorce and separation, Family of origin issues, Family problems, Fatherhood issues, First responder issues, Forgiveness, Guilt and shame, Impulsivity, Infidelity, Isolation / loneliness, Jealousy, Life purpose, Men's issues, Midlife crisis, Veteran and Armed Forces Issues, Money and financial issues, Multicultural concerns, Postpartum depression, Post-traumatic stress, Pregnancy and childbirth, Prejudice and discrimination, Seasonal Affective Disorder (SAD), Self-love, Sexual assault and abuse, Women's issues, Workplace issues, Young adult issues
These quotes represent just a few of the many positive reviews that we have received for Dr. Nakia (Nicki) Pascetti. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.
Best therapist in the world!!!!!! Made me so much stronger and aware of everything!!!!! Highly recommend!!!!!!!
Written on May 27, 2025 after therapy with Nakia (Nicki) for 3 years on issues concerning depression, stress, anxiety, relationship issues, family conflicts, and parenting issues
I like Dr. Pascetti she is down to earth and tell you how it is and not many therapists are truly like that and that is very rare in my opinion..
Written on May 21, 2025 after therapy with Nakia (Nicki) for 2 weeks on issues concerning stress, anxiety, relationship issues, intimacy-related issues, self esteem, and coping with life changes
Dr Pascetti is amazing. She will tell you what you need to hear, not what you want to hear. That being said she will always support you. She will challenge you to think about things differently. She greets each session with empathy and compassion. If you want someone that is understanding, no judgement, and knows what you need (sometimes before you do), then she is your girl.
Written on May 14, 2025 after therapy with Nakia (Nicki) for 11 months on issues concerning depression, stress, anxiety, relationship issues, intimacy-related issues, parenting issues, self esteem, anger management, and coping with life changes
One of the few therapists who gives me accurate feedback on how I can improve myself and my mental health
Written on May 03, 2025 after therapy with Nakia (Nicki) for 1 year and 8 months on issues concerning depression, stress, anxiety, trauma and abuse, intimacy-related issues, self esteem, and compassion fatigue
Dr. Pascetti is wonderful!
Written on May 01, 2025 after therapy with Nakia (Nicki) for 3 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, family conflicts, trauma and abuse, grief, intimacy-related issues, eating disorders, sleeping disorders, parenting issues, self esteem, anger management, career difficulties, bipolar disorder,
I’ve only had a couple of sessions with Dr. Pascetti so far, and I’m already incredibly impressed by her insight and professionalism. She has a remarkable ability to pick up on key issues and guide the conversation in a way that feels both natural and deeply helpful. What stood out to me the most was how thorough she was in getting to know my story before diving into therapy—it made me feel seen and ensured we weren’t just jumping in blindly. After each session, I walk away feeling empowered, understood, and genuinely hopeful about my journey ahead. I’m grateful to have found her and am looking forward to continuing our work together.
Written on Apr 23, 2025 after therapy with Nakia (Nicki) for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, family conflicts, intimacy-related issues, self esteem, career difficulties, and coping with life changes
I am thankful for having our sessions and glad that I made the step to speak with her.
Written on Jan 24, 2025 after therapy with Nakia (Nicki) for 2 weeks on issues concerning depression, stress, anxiety, family conflicts, trauma and abuse, grief, intimacy-related issues, anger management, career difficulties, bipolar disorder, coping with life changes, coaching, and compassion fatigue
Very knowledgeable
Written on Nov 22, 2024 after therapy with Nakia (Nicki) for 1 year and 1 month on issues concerning depression, stress, anxiety, relationship issues, trauma and abuse, grief, self esteem, and compassion fatigue
Nicky is an excellent therapist hugely professional and an empathic support who is skilled st suggesting and sharing useful tools and techniques to assist.
Written on May 21, 2024 after therapy with Nakia (Nicki) for 2 years and 9 months on issues concerning stress, anxiety, relationship issues, self esteem, and compassion fatigue
My first session with Ms Fleming was successful I cant wait for the next session
Written on May 10, 2024 after therapy with Nakia (Nicki) for 2 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, family conflicts, intimacy-related issues, sleeping disorders, parenting issues, self esteem, anger management, and career difficulties
Experienced and relateable
Written on Apr 25, 2024 after therapy with Nakia (Nicki) for 2 weeks on issues concerning depression, stress, anxiety, addictions, relationship issues, family conflicts, sleeping disorders, self esteem, coping with life changes, and adhd
Nicki is wonderfully direct, supportive, and helps me recognize the areas I need work where I may not have seen before. I would go to her 10 times over if given the opportunity or need.
Written on Apr 15, 2024 after therapy with Nakia (Nicki) for 3 weeks on issues concerning stress, anxiety, relationship issues, coping with life changes, and compassion fatigue
Nicki is amazing. She has brought some facts about myself that I was not aware of and made me have some reflections about myself. I would recommend her to anyone.
Written on Jan 31, 2024 after therapy with Nakia (Nicki) for 2 months on issues concerning stress, anxiety, trauma and abuse, grief, intimacy-related issues, and self esteem
She’s very good at getting you out your head and directing you to a smarter healthier way of thinking.
Written on Dec 19, 2023 after therapy with Nakia (Nicki) for 3 months on issues concerning depression, stress, anxiety, trauma and abuse, anger management, coping with life changes, and adhd
Absolutely incredible.
Written on Nov 20, 2023 after therapy with Nakia (Nicki) for 2 months on issues concerning depression, stress, anxiety, relationship issues, intimacy-related issues, self esteem, and coping with life changes
She is insightful, kind, and understanding. I really appreciate her.
Written on Nov 02, 2023 after therapy with Nakia (Nicki) for 2 weeks on issues concerning depression, stress, anxiety, grief, anger management, and coping with life changes
Lovely, fun and direct.
Written on Jun 15, 2023 after therapy with Nakia (Nicki) for 4 months on issues concerning stress, anxiety, relationship issues, family conflicts, grief, sleeping disorders, anger management, and coping with life changes
Dr. Fleming is great! She is full of energy and is very knowledgeable about what she is talking about. I like how she uses real life and personal experiences to get her point across and make her instructions relatable. I look forward to every session.
Written on Mar 22, 2023 after therapy with Nakia (Nicki) for 3 weeks on issues concerning relationship issues, parenting issues, anger management, and coping with life changes
Dr. Fleming is just the type of therapist I wanted and needed. She understands a lot of the things I go through and helps me take the steps to correct unhealthy patterns and behaviors. I am really grateful that I was matched with her on my first try!
Written on Jan 24, 2023 after therapy with Nakia (Nicki) for 7 months on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, eating disorders, self esteem, coping with life changes, compassion fatigue, and adhd
In the short time that I have sought Dr. Fleming's help, I have grown so much. She has helped me explore things I never considered and is very active in helping me. I appreciate her expertise and feel comfortable with her.
Written on Jan 17, 2023 after therapy with Nakia (Nicki) for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, intimacy-related issues, coping with life changes, and adhd
I have nothing but praise for Dr Fleming. She listens and provides honest feedback as well as superb advice and suggestions. After a session I am usually pumped and ready to go. Her skills are myriad and her professionalism is top-notch. There is no judgement ever, just caring, knowledgeable support.
Written on Jan 10, 2023 after therapy with Nakia (Nicki) for 4 months on issues concerning depression, stress, anxiety, relationship issues, intimacy-related issues, eating disorders, self esteem, compassion fatigue, and adhd
Dr Fleming’s profile is identical to what you will receive from her as a therapist. Dr Fleming is very helpful and her knowledge an professionalism speaks for itself.
Written on Oct 12, 2022 after therapy with Nakia (Nicki) for 4 months on issues concerning depression, stress, anxiety, grief, sleeping disorders, anger management, and career difficulties
Dr. Fleming has helped me in so many ways. Even after the first session I felt such a huge relief. I felt heard and seen. She is so respectful but at the same time relatable so I felt comfortable sharing information with her. My anxiety is pretty much gone and it has been only one month since working with her. Thank you Dr. Fleming.
Written on Oct 08, 2022 after therapy with Nakia (Nicki) for 1 month on issues concerning anger management
Dr. Fleming is amazing, kind, and understanding.
Written on May 17, 2022 after therapy with Nakia (Nicki) for 3 months on issues concerning depression, and stress, anxiety
Great communication
Written on May 06, 2022 after therapy with Nakia (Nicki) for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, family conflicts, intimacy-related issues, parenting issues, self esteem, and coping with life changes
I love her
Written on Mar 15, 2022 after therapy with Nakia (Nicki) for 2 weeks on issues concerning stress, anxiety, depression, self esteem, relationship issues, coping with life changes, anger management, intimacy-related issues, career difficulties, parenting issues, and bipolar disorder
Fantastic!
Written on Jan 03, 2022 after therapy with Nakia (Nicki) for 3 weeks
Dr.Fleming has literally changed my life in these short few months! Talking to her weekly has helped me identify so many trauma based issues in my life that I would of never came to the realization on my own. She gives me the necessary tools and advice to be the best version of myself and with her help I know that I can be. Never knew how much I needed therapy! So thankful for her.
Written on Oct 23, 2021 after therapy with Nakia (Nicki) for 2 months on issues concerning stress, anxiety, relationship issues, trauma and abuse, grief, and anger management
I was hesitant to sign up for better help, but once I was paired with Nikki, I felt encouraged, which helped me built trust. I am finally developing skills that I thought were out of reach, and Nikki was there to guide me. I am grateful for all the progress we have made!
Written on Sep 23, 2021 after therapy with Nakia (Nicki) for 1 month on issues concerning depression, stress, anxiety, family conflicts, trauma and abuse, self esteem, and bipolar disorder
Nikki is awesome and I’m really happy I was paired with her. I feel comfortable and she is straight up about what is going on. No sugar coating. Great advice. Thank you for the guidance:
Written on Aug 14, 2021 after therapy with Nakia (Nicki) for 2 weeks on issues concerning relationship issues, trauma and abuse, and anger management
I’m very satisfied.
Written on Aug 12, 2021 after therapy with Nakia (Nicki) for 2 weeks on issues concerning stress, anxiety, relationship issues, family conflicts, self esteem, and coping with life changes
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