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Nelson Rivera, LICSW, LCSW

LICSW focusing on trauma and addiction
  • Bilingual English Spanish
  • 20 years experience
  • Trauma and addiction

About Nelson Rivera

Nelson Rivera is a Licensed Clinical Social Worker with more than 20 years of experience in HIV/AIDS care, substance use treatment, and behavioral health. He holds both LICSW and LCSW credentials - LICSW means Licensed Independent Clinical Social Worker and LCSW means Licensed Clinical Social Worker - and has a master's degree from New York University. He is also a candidate for a PhD in Organizational Psychology, bringing a broad understanding of individual and system-level influences on wellbeing.

Nelson has worked with a wide range of concerns including depression, anxiety, relationship difficulties, LGBTQA+ issues, career transitions, and multiple chronic medical diagnoses. He has extensive experience supporting people affected by childhood trauma and exploring how early experiences can shape patterns in adulthood. His clinical work also covers addictions, grief, intimacy and sexual health, caregiver stress, and mood disorders among other challenges.

His counseling style is described as warm, interactive, and straightforward. He emphasizes respect, dignity, sensitivity, and compassion while helping people examine how thoughts influence behaviors. Nelson integrates cognitive behavioral techniques and motivational interviewing to help clients move through ambivalence and develop practical strategies for change. He adapts his dialogue and treatment plan to fit each person's unique needs rather than relying on rigid labels.

Nelson frames therapy as a collaborative process that supports people in redesigning lives that better fit their values and goals. He encourages courageous steps toward change and aims to empower clients to make sustainable adjustments that reflect their priorities.

Areas of Expertise

Primary Focus

AddictionsLGBTTrauma and abuseDepressionCompassion fatigue

Also Specializes In

Stress, AnxietyRelationship issuesFamily conflictsGriefIntimacy-related issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoaching

Additional Focus Areas

Caregiver issues and stressCommunication problemsDrug and alcohol addictionForgivenessGuilt and shameHIV / AIDSImpulsivityInfidelityIsolation / lonelinessLife purposeMen's issuesMood disordersPrejudice and discriminationProcess addiction (porn, exercise, gambling)Self-harmSelf-loveSex addictionSexualityWorkplace issuesYoung adult issues

Therapeutic Approach

Cognitive Behavioral Therapy (CBT) Motivational Interviewing Trauma-Focused Therapy

Frequently Asked Questions

How much experience does Nelson Rivera have?

Nelson Rivera has 20 years of professional experience working in HIV/AIDS care, substance use, and behavioral health.

Is Nelson Rivera a licensed therapist?

Yes. He holds the credentials LICSW and LCSW. LICSW stands for Licensed Independent Clinical Social Worker and LCSW stands for Licensed Clinical Social Worker. His license details are DC LICSW LC200002823 and FL LCSW SW11119.

In which languages does Nelson Rivera provide therapy?

Nelson Rivera provides therapy in English and Spanish.

Where is Nelson Rivera located?

Nelson Rivera is located in the District of Columbia.

How can I work with Nelson Rivera as my therapist?

You can work with Nelson Rivera through video calls, phone sessions, live chat, or text-based messaging.

Does Nelson Rivera work with international clients?

Yes, Nelson Rivera works with international clients.

How much does therapy with Nelson Rivera cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Approaches for Online Support and Skill Building



Nelson Rivera integrates evidence-based methods into online work to address symptoms and life challenges. Cognitive Behavioral Therapy (CBT) focuses on identifying and shifting unhelpful thoughts and behaviors, offering practical tools for anxiety, depression, and everyday stressors. Motivational Interviewing helps people explore ambivalence and strengthen internal motivation for change, which can be especially useful for substance use, behavior change, and readiness-related concerns. Trauma-Focused Therapy centers on processing and managing the impact of traumatic experiences, helping reduce the influence of past events on current relationships and functioning.

Finding the right approach is part of the therapeutic process, and Nelson collaborates with each person to tailor methods to their needs, goals, and preferences. He works with clients to test what feels most useful and adjusts the plan as progress unfolds, so therapy remains responsive and relevant.

Online sessions via video, phone, live chat, or text-based messaging provide flexible ways to engage in care. This format makes it easier to schedule appointments around work and family life, access support from different locations, and maintain continuity of care when circumstances change. Nelson uses these options to meet clients where they are and support meaningful, practical progress.

Ready to start therapy with Nelson Rivera?

Take the first step toward a better you.