Qualifications/Experience: I hold a Master’s Degree in Clinical Mental Health Counseling from North Carolina Central University (December, 2011) and a Bachelor’s Degree in Psychology from North Carolina Central University (May, 2005). In February 2012, I obtained certification as a National Certified Counselor (#291252). In March 2014, I obtained licensure as a Licensed Professional Counselor (#9304).
I began counseling work during my graduate practicum in January 2011 at a community mental health agency located in Raleigh, NC. I continued my training during my internship in August, 2011 at a community mental health agency located in Durham, NC. I have ten years of post-graduate experience providing psychotherapy to children, adolescents and adults in individual, group, couples, and family settings. Areas of treatment have surrounded personal, behavioral, emotional, relationship, and family difficulties, as well as working with clients with histories of trauma.
Nature of Counseling: There are many reasons people seek counseling; regardless of the reasons, I believe an enhanced sense of self understanding and acceptance is essential including understanding how past experiences have shaped the way we view ourselves, as well as how we understand and relate to others. Therapy provides the opportunity for growth, self-discovery and insight in the context of a safe, supportive environment. Each client is unique and presents with his or her own counseling needs and concerns. For this reason, there is no one approach that may work best for everyone. Overall, I have an eclectic and multicultural approach in providing psychotherapy. With this principle in mind, I utilize integrative models involving Rational Emotive Therapy, Cognitive-Behavioral Therapy, Trauma Focused Cognitive Behavioral Therapy, Narrative Therapy, Solution-focused Therapy, and Reality therapy. I may occasionally request that you do “homework” by way of providing you with further reinforcement to concepts discussed in session or simply to prompt further insight and self exploration.
Effects of Counseling: It is important to understand the risks and benefits of counseling. Since therapy often involves discussing unpleasant aspects of your life, you may experience uncomfortable feelings like sadness, guilt, anger, or frustration. On the other hand, psychotherapy has also been shown to have many benefits. Therapy often leads to better relationships, solutions to specific problems, significant reductions in feelings of distress, and an overall improved well-being. Given the nature of psychotherapy, it is difficult to predict exactly what will happen in terms of therapeutic outcome or to provide a clear estimate of time required in order for a client to reach his or her personal goals. One of the best indicators though for success in therapy often involves the motivation level of the client such as being open to the process of change, being consistent with attending sessions, and working on goals outside of sessions.
Guided Philosophy: My belief is that clients have the capacity to learn, change, and grow so that they may experience more meaningful, healthier, and happier lives. The fact that you are seeking counseling demonstrates your commitment to your mental and emotional health as well as your inner strength in identifying when seeking support is necessary. My role is to facilitate that process and partner with you on your journey, whatever that journey may be. Whether it is healing emotional wounds, enhancing life coping skills or simply general self-improvement, I look forward to helping address whatever counseling needs you may have.
Counseling Relationship: Although our sessions may be very intimate emotionally and psychologically, ours is a professional relationship rather than a social one. As such, maintaining professional boundaries is a vital component in the therapeutic relationship, and I will uphold those boundaries in order to ensure an appropriate therapeutic relationship.
Use of Diagnosis: I utilize the Diagnostic and Statistical Manual of the American Psychiatric Association, Fifth Edition (DSM-V) to make clinical diagnoses. While I do accept insurance, it is generally important for clients to understand, that if a client is using insurance, it is typically necessary for a diagnosis to be given in order for claims to be serviced. In addition to a diagnosis, insurance companies may also request treatment plans or summaries. This information, including the diagnosis would become part of the client’s permanent record. Another scenario whereby diagnoses and other clinical information may be shared (upon client’s consent) is if a client transfers to another therapist or collaboration is necessary with a client’s physician or psychiatrist, for example.
Confidentiality: Discussions between you and me, and even the fact that you are in therapy with me, are confidential. In psychotherapy, very intimate and personal details of yourself and your life may be revealed and for this, I regard with the utmost care and respect. Having confidentiality and trust is essential to your therapeutic experience and therapeutic outcome. However, exceptions to confidentiality do exist. These exceptions include, but are not limited to, the following situations:
1. If I determine that you may be in danger to yourself or others.
2. If you provide information that leads me to believe that a child (under 18 years of age), elderly person, or disabled adult is or has been abused or neglected.
3. A court order has been issued to release information about you and your clinical record.
4. If you request in writing that I may release information about you.
Client Rights: Some clients achieve their goals in only a few counseling sessions; others may require months or even years of therapy. As a client, you are in complete control and may end our counseling relationship at any time, though I do ask that you participate in a termination session. You also have the right to refuse or discuss modification of any of my counseling techniques or suggestions that you believe might be harmful.
Additional areas of focus: Addictions, Relationship issues, Family conflicts, Trauma and abuse, Grief, Parenting issues, Coping with life changes, Compassion fatigue, ADHD, Antisocial Personality, Avoidant Personality, Blended Family Issues, Co-morbidity, Codependency, Commitment Issues, Communication Problems, Control Issues, Disruptive Mood Dysregulation Disorder (DMDD), Dissociation, Family Problems, Fatherhood Issues, Fertility Issues, Forgiveness, Infidelity, Intellectual Disability, Jealousy, Life Purpose, Military and Veterans Issues, Multicultural Concerns, Obsessions, Compulsions, and OCD, Panic Disorder and Panic Attacks, Paranoia, Personality Disorders, Phobias, Postpartum Depression, Post-traumatic Stress, Prejudice and Discrimination, Process addiction (porn, exercise, gambling), Seasonal Affective Disorder (SAD), Self-Love, Sex Addiction, Social Anxiety and Phobia, Young Adult Issues
Clinical approaches: Attachment-Based Therapy, Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), Emotionally-Focused Therapy (EFT), Existential Therapy, Mindfulness Therapy, Motivational Interviewing, Internal Family Systems
NC LCMHC 17990
Nikki is wonderful. She doesn’t waste any time, she gets right into what you want to process and immediately helps you come up with solutions or a new framework to see situations in. If you are looking for effective support, she is your girl!
Written on Mar 30, 2023 after therapy with Nakumia for 2 weeks on issues concerning depression, stress, anxiety, relationship issues, family conflicts, trauma and abuse, self esteem, bipolar disorder, coping with life changes, and adhd
Excellent, understanding, thoughtful- really has been fantastic all around.
Written on Feb 05, 2023 after therapy with Nakumia for 3 months on issues concerning depression, stress, anxiety, relationship issues, and family conflicts
I have only had one meeting with Nakumia Nowlin so far, but I felt very respected and understood. However, I requested a virtual video meeting, and only received a phone call. A little confused about that.
Written on Jan 15, 2023 after therapy with Nakumia for 3 weeks on issues concerning depression, stress, anxiety, family conflicts, self esteem, career difficulties, coping with life changes, and adhd
Nakumia or Nicki as she told me to call her is very respectful of my thoughts and feelings. She helps me to work out the issues that I am having and supports me to better myself and my life.
Written on Dec 07, 2022 after therapy with Nakumia for 2 weeks on issues concerning stress, anxiety, anger management, bipolar disorder, and adhd
Written on Dec 06, 2022 after therapy with Nakumia for 1 month on issues concerning depression, relationship issues, trauma and abuse, grief, and compassion fatigue
Nakumia has been a great listener and has made my first experience with therapy enjoyable.
Written on Nov 18, 2022 after therapy with Nakumia for 2 weeks on issues concerning stress, anxiety, addictions, and coping with life changes