About Nathan
Nathan Railla is a licensed counselor in Vermont who helps people facing stress, anxiety, depression, and addiction. He works with individuals wrestling with relationship struggles, self-esteem setbacks, grief, anger, and the strain of life changes. He also supports people managing ADHD and trauma-related concerns.
Nathan uses a mix of straightforward talk and body-focused work to help people feel steadier in day-to-day life. He creates space for clients to speak openly about painful feelings and difficult memories.
Background and approach
Sessions focus on practical steps people can try between meetings and on noticing how emotions show up in the body. Over 15 years in the field, Nathan has developed an approach that blends client-centered listening with tools from cognitive behavioral and mindfulness practices. This combination aims to help people spot unhelpful thoughts, build new coping skills, and calm physical reactions to stress.
He encourages small experiments in thinking and behavior to test what helps. People often come for help with specific issues like addiction, communication problems, or chronic worry. Nathan pays attention to broader themes such as attachment, codependency, and control issues that can keep problems repeating.
He works at a steady pace that fits each person’s needs. Nathan holds the Licensed Professional Counselor credential and the Licensed Clinical Mental Health Counselor credential, and he practices from Vermont. He accepts international clients and offers sessions in English.
How therapeutic approaches work online
Nathan draws on somatic therapy to help people notice how stress and emotion show up in the body. This approach uses body awareness and simple movement or breath work alongside talk to reduce physical reactivity and calm nervous system responses.He also uses client-centered therapy, which means sessions begin with listening and following what matters most to the person. This helps build trust and makes it easier to try other tools when the time is right. Cognitive behavioral therapy (CBT) is used to identify unhelpful thinking and to practice new behaviors that reduce symptoms of anxiety, depression, or problematic habits.
Finding the right approach is a collaborative process. Nathan will work with each person to mix methods based on their goals, comfort level, and the problems they want to solve. That partnership helps tailor a plan that feels doable and realistic.
Online therapy offers flexibility for busy schedules and for people who cannot travel to an office. Sessions can take place by video or phone, and shorter check-ins work well through live chat or text-based messaging. These options make it easier to keep momentum between meetings and to use therapeutic tools in everyday life.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Addictions
- Relationship issues
Also works with
- Abandonment
- ADHD
- Anger management
- Attachment issues
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Control issues
- Coping with life changes
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Drug and alcohol addiction
- Emptiness
- Family conflicts
- Family problems
- Forgiveness
- Grief
- Guilt and shame
- Impulsivity
- Isolation / loneliness
- Life purpose
- Men's issues
- Money and financial issues
- Mood disorders
- Panic disorder and panic attacks
- Paranoia
- Phobias
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 15 years
- Licensed
- Vermont, Colorado
- Languages
- English