Therapist profile
Nelson Rivera
Compassionate, practical therapy for change
Review online therapy options on BetterHelp.
- CBT focused
- Motivational approach
- Spanish and English
About Nelson
Nelson has long experience supporting people affected by HIV and AIDS, substance use, and behavioral health concerns. He helps with depression, anxiety, relationship struggles, and career questions. He also works with people who carry wounds from childhood trauma and want to understand how that shapes adulthood.
He commonly uses cognitive behavioral approaches to look at how thoughts affect actions, and motivational interviewing to address ambivalence and create movement. He adapts conversations and plans to fit each person's needs rather than relying on labels. That flexibility can help when coping with life changes or shifting roles.
Nelson earned a master's degree from New York University and is a candidate for a PhD in organizational psychology. Across two decades he has worked in clinical settings with diverse concerns, including grief, addiction, and stress. He brings that background into practical problem-solving during sessions.
Sessions are offered in English and Spanish. He works with issues such as addiction, trauma and abuse, LGBT concerns, chronic mood disorders, caregiver stress, and intimacy-related struggles. If someone is ready to make changes, he focuses on clear steps to move forward.
Approaches that guide online work
Nelson uses cognitive behavioral methods to help people notice and change thought patterns that drive difficult behaviors and moods. This approach is practical and often involves setting small, actionable steps between sessions.He also uses motivational interviewing to help people move past mixed feelings and find reasons to change. That approach focuses on listening, reflecting, and helping clients build their own momentum.
Finding the right approach is part of the work together. Nelson will discuss goals, preferences, and daily routines to decide whether cognitive strategies, motivational work, or trauma-focused attention fits best. He adapts methods to each person's needs rather than sticking to a single plan.
Confirm the current session options before booking so you know what formats are offered. Online sessions can make it easier to fit therapy into a busy life - for example, shorter check-ins during a work break, avoiding travel time, or choosing not to be on camera when that helps. Licensed professionals can tailor pacing and homework so sessions match real-world schedules and challenges.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
20+ years
Credentials
Florida, District of Columbia, Maryland
Languages
English, Spanish
Frequently asked questions
What concerns does Nelson commonly address?
He works with a wide range of concerns including addictions, trauma and abuse, depression, anxiety, grief, relationship and intimacy issues, and coping with life changes.
What is his therapeutic style like?
His style is warm, interactive, and straightforward, focusing on practical conversation and collaborative goal-setting.
What experience does he bring to sessions?
He has 20 years of experience working in behavioral health, including work with HIV and AIDS, substance use, and trauma-related concerns.
What are his credentials and where is he based?
He holds the credentials LICSW and LCSW and practices from the District of Columbia.
In what languages can sessions be conducted?
Sessions are offered in English and Spanish, and he also accepts international clients.
What session formats are available?
Confirm current session options before booking to know which session formats are offered for scheduling.
How does payment and cost work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with him?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.