Therapist in Exeter, New Hampshire Colin Piekarski, Therapist

Colin Piekarski, LICSW, helps individuals and families navigate life’s challenges with compassion, collaboration, and evidence-based care. Serving communities across New Hampshire, Colin provides therapy that is both supportive and results-oriented, guiding clients toward greater emotional well-being and personal growth. He works with children, adolescents, teens, and adults, tailoring care to each client’s developmental stage and unique circumstances. Colin is especially passionate about supporting children and adolescents facing ADHD, behavioral challenges, and school-related stress. With a deep understanding of how these issues impact both the child and family system, he incorporates parent collaboration and skills-building to foster long-term change. Colin also works with youth on the autism spectrum, as well as those with developmental disabilities, helping them thrive socially, emotionally, and academically. He believes in meeting kids where they are—with creativity, patience, and a commitment to building trust. His clinical expertise includes treating anxiety, depression, and PTSD/trauma, often integrating Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and mindfulness techniques to build resilience and emotional regulation. He has extensive experience with first responders, veterans, and individuals affected by substance use or grief, and offers both individual and family therapy to address these complex concerns. In addition to his core focus areas, Colin offers support for couples and men’s mental health, and is trained in exposure therapy and faith-based treatment. He offers additional services to meet the diverse needs of clients. Outside of his clinical work, Colin finds joy in spending time with his family, hiking local trails, biking along scenic routes, and cruising the seacoast on his moped. He also enjoys board games, reading, and listening to audiobooks and podcasts.