Nik Ruthless, LCMHC
LCMHC (Licensed Clinical Mental Health Counselor)
Wilkesboro, NC
Online & In-Person
Free initial consultation
About me
If you’re looking for a therapist who won’t pathologize your struggles or pretend to have all the solutions—but will support and challenge you in equal measure—let’s talk.
You might feel pressure to hide things about yourself, because people around you don’t want them to be true.
I know how important fitting in can be, and how crushing it can be to always feel out of place.
In my life I’ve moved over 30 times, and I’ve lived all over the United States (including Alaska!) Perpetually being “the new kid” meant I got really good at meeting and exceeding people’s expectations. For me, fitting in meant success. I was great at making friends, I excelled in school, and I was always down to try new hobbies and learn about what other people were into.
It also meant that sometimes I would feel lost, like even though things were going “right” for me all the time I didn’t really feel like I was getting anywhere in life. I was an empathetic friend, a high-achieving student, an attentive partner, and a supportive sibling and child. But something was missing.
Eventually I started to figure out that realizing achievements and dreams only matter when they’re actually your dreams to start with. I had a lot of ambition and love to give, but I did some serious work to parse out my own hopes/dreams/goals, and what were just others’ expectations.
I love working with people on this very same journey.
Once we know who we are and who we want to be, it is much easier to chart a rewarding path.
Therapy is about creating space to untangle what’s holding you back, so you can move forward with clarity and confidence. My approach is direct but compassionate, grounded in evidence-based practice while leaving room for the complexities of being human.
If you’re looking for a therapist who won’t pathologize your struggles or pretend to have all the solutions—but will support and challenge you in equal measure—let’s talk.
License
License(s)
Education
Indiana Wesleyan University
Fees and insurance
Cost per session
$150 - $180Accepted payment methods
- Cash
- Check
- Health Savings Account (HSA)
- Credit Card
- Flexible Spending Account (FSA)
Accepted credit cards
- Visa
- Mastercard
- American Express
- Discover
Accepted insurance plans
- United Healthcare
- Aetna
- Anthem
- Out of Network
- Blue Cross/Blue Shield
- Optum
Specialties and clinical interests
- ADHD
- Anxiety
- Autism Spectrum Disorder
- Bipolar & Other Mood Disorders
- Borderline Personality Disorder
- Chronic Illness
- Chronic Pain
- Gender Identity
- LGBTQIA+
- Mental Health Professionals
- Sexual Identity
Therapy types
- Acceptance and Commitment Therapy (ACT)
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
Community specialties
- LGBTQIA+
- People with Disabilities
- Military Families
- Autism
- Health at Every Size (HAES)
Location
Fathom Counseling, PLLC
1022 River Street
Suite STE A
Wilkesboro, NC 28697 US
Office is ADA Accessible
Licensed to see clients in
Years in practice
Service types
- Therapy / Counseling
Types of clients
- Adolescents (13-17)
- Adults (18+)
- Older Adults (65+)
- Individuals
- Couples
Languages
- English
Website and social media