Nicki Ditch LMHC, CCTP, AMTP

Mental Health and Counseling

  • "I'm Not Jealous!"

    Did you ever insist that you were not jealous even though you did feel jealous? Jealousy gets a bad rap but it has its utility in relationships! Watch to see how.

  • How Will You Care For You Today?

    Two common immediate reactions following a tragedy are feeling as if a prior loss or traumatic experience is happening again and re-evaluation of priorities. While the first immediate reaction is generally very emotionally and sometimes even physically painful, the second reaction can be helpful. It is so easy to get lost in the overwhelm of the current crisis and despair has a way of taking over if we are not intentionally fending it off. It is during the immediate aftermath of tragedy when we should find ways to be self-caring, determine our own values, and identify at least one behavior we can do now that align with our values. In doing so, we allow ourselves to continue to heal our older wounds and begin to heal the newest wounds.  So, how can you be self-caring right now? What do you promise yourself to do today to take care of you? What do you value TODAY and HOW COME? Is it because you’ve been told you should value it while wondering if you truly do? Is it because you had a life experience that either instilled or reinforced that value? Is it because it’s just been a habit to value it; something you’ve always done without really giving it much thought? Can you imagine cleaning the closet out? Can you dump all the values, opinions, shoulds, shouldn’ts into a pile and sort through them, deciding what you want to toss, what you want to give back to its rightful owner, and what you want to hold onto and place neatly back in the closet? After you’ve done that, can you take it one step forward and do one thing today that aligns with the values that you have decided are yours to keep? 

  • Sometimes Therapy Feels Shitty

    Many clients and even therapists believe that if something is therapeutic, it means it feels good. The truth is that sometimes it feels good and other times, it feels shitty. If something is therapeutic, it means that it aids in healing and sometimes that hurts! Have you ever heard of a bone needing to be “rebroken” so it can heal properly? Have you ever had stitches or surgery? Healing fucking hurts!!!


    A lot of people think that their loved ones in therapy with me are spending an hour and good money to be complimented, to be told about how right they are and how wrong their loved ones are, or to talk to me while I sit passively nodding my head with smiles and “mm hmm’s.”


    Here is a reality check for you. If your loved one is in therapy with me, they have one of the most confrontational and challenging therapists I know. It is true that my clients feel safe in their therapy. Feeling safe is my ultimate concern for my clients. I tell my clients often that while they should always feel safe, they will often feel uncomfortable. I also tell them that if we work together long enough and if they and I are doing our jobs right, I will probably piss them off. My clients hear me say things like,


    • What do you need today?
    • Your presence matters. Your absence matters. What you do matters. What you say matters. You matter.
    • What do you need right now?
    • I’m feeling protective of you right now.
    • What do you need from me?
    • When you allow yourself to show your hurt in here, you help me to understand how hurt you are.
    • What do you need? (Are you noticing a pattern here?)
    • I hate that you are hurting so much.
    • I am pissed that that happened to you.
    • Even if you smile or laugh in here, I promise I won’t forget how much you are suffering.
    • What is preventing you from getting your needs met?
    • Trust in your process, be patient with your timeline, be kind to yourself.
    • Can you work to get your needs met in here?


    My clients also hear me say things like,


    • What gives you the right to tell other people how to feel?
    • You don’t get to decide how _____ does life.
    • It is none of your business what they are saying about you.
    • How do you expect to get your needs met when you haven’t made them clear to anyone?
    • ______ is not responsible for your emotions; you are.
    • ______ is entitled to his experiences even if you don’t agree with or understand them.
    • I am beginning to resent your frequent tardiness to your sessions.
    • What are you avoiding?
    • What are you doing right now?
    • How does what you are saying have anything to do with what I just asked you?
    • Talk to me about your anger with me right now.


    Despite what stigma has taught society, THERAPY IS NOT FOR THE WEAK! My clients are so strong and brave! When I was leaving the clinic and had my clients meet their new therapists, what I heard my clients say the most to their new therapists were things like, "I need you to call me out on my shit like Nicki does," "Don't let me stay comfortable," "Push me out of my comfort zone like Nicki does." Therapy with me is rough at times. It is often uncomfortable, confrontational, challenging, brutally honest, and incredibly therapeutic. 

  • On Being Defensive

    What is defensive communication? Why do we engage in it? Is it useful? How can we avoid using it to have healthier discussions with our loved ones?

  • "What do you do with YOUR feelings?" 

    People often wonder how I, as a therapist, manage my own feelings that result from therapy sessions with my clients.