01 · Who Nina works with

Nina works with stress, Anxiety, relationship issues and trauma and abuse

Nina lists 16 specialisms and 16 further focus areas. Specialisms are the subjects Nina chose to list first, which is the closest a listing gets to “this is my actual practice”.

02 · In Nina's own words

What Nina says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

Hello! My name is Nina and I am a licensed therapist in the state of Washington, with over 25 years experience. In my career, I have worked with adults, families, couples, adolescents, and children. I have worked across many settings, including non-profit, private practice, and education. I have served as a counselor, therapist, case manager, advocate, consultant, and supervisor. My current position allows me to work with adults, families and young adults finding their way in the world. I truly enjoy helping others realize their potential, overcome fears and trauma, and find a place of peace in this crazy world we live in.

I did my undergraduate work at University of Washington in Seattle, where I majored in Psychology and worked with Dr. John Gottman's marital therapy research project. I completed my graduate studies at Pepperdine University in California, where I majored in Clinical Psychology, with an emphasis in Marriage, Family, and Child Therapy.

You will find me to be direct, yet compassionate and thoughtful. I tend to sit most comfortably with a person-centered, solution-focused approach. I am here to help you work toward strength and happiness in your life, whatever that may look like for you. Therapy with me is a collaboration. I believe you have virtually everything you need to heal within you. I am here to help you access those parts and provide you tools to help you continue on your path of growth. If you want a therapist who is willing to put in weeks or months of work with you, I will invest myself in your journey. If you're looking for a therapist who can support you about a particular issue, I will have tips and tools for you to effectively heal and grow stronger. If you are going through a crisis and just need a sounding board and guidance, I am here for you and you are not alone. The last couple years have been quite a ride and I have yet to meet someone who is completely okay right now. We are experiencing collective trauma, and all of your experiences and emotions are relatable to so many others. I am looking forward to meeting you and being part of your community of support and healing.

Nina Lupo, on the BetterHelp listing · read 9 Oct 2026

03 · How Nina works

The 6 approaches Nina lists, in plain English

These are the clinical methods Nina lists. The descriptions are Maker Therapy's, not Nina's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Nina runs a session.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Emotionally Focused TherapyEFT

Built for couples and rooted in attachment: the recurring argument is treated as a cycle two people are stuck in rather than as one person's fault. Sessions work to interrupt the cycle and get to what each person is actually asking for underneath it.

The Gottman Method

A couples approach built on decades of observational research into what distinguishes relationships that last. Structured and assessment-led: it maps friendship, conflict and shared meaning, then works on the specific mechanics of how the two of you argue.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

04 · What happens next

From this page to a first session

Nina practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Nina's own practice, and not a promise about how quickly anything happens.

1. A questionnaire, not a booking form

   BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Nina at this point.

2. Naming Nina specifically

   BetterHelp matches algorithmically by default, so asking for Nina is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Nina.

3. If the caseload is full

   You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.

4. The first conversation

   A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.

5. If the fit is wrong

   Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.

05 · Before you commit

4 questions worth asking Nina

Built from what Nina actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Nina's - Nina has not seen them and is under no obligation to answer any of them.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “How do you decide when someone is ready to work on a traumatic memory itself?”

  Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.

• “With 25 years in, what has changed most in how you work?”

  Long experience is only an advantage if it has been examined. This tends to surface whether it has.

• “How do you handle the gap between sessions if something comes up?”

  On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.

06 · Practical details

Credentials and licensing

Credential

LMFT

Licensed in

Washington

Licence

WA LMFT LF 60143086

Licence number

LF 60143086

Licence expires

5 Jan 2027

NPI

1487305355

Years in practice

25

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

Nina's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 9 Oct 2026. The licence number and NPI are cross-checked against public registers.

The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.

Maker Therapy is not BetterHelp, does not take bookings, and has not met Nina. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.

Something on this page wrong or out of date? Report it and it will be checked against the source.