About Alisha
Alisha "Nikki" Lowman is a licensed clinical social worker (LCSW) based in North Carolina with five years of professional experience. She focuses on helping people manage anxiety, stress, mood concerns, and the fallout from past trauma. Her style is warm and collaborative, and she aims to help clients change how they respond when circumstances can’t be changed.
Nikki centers sessions on the person in front of her. She uses client-centered methods to listen carefully, reflect what matters, and build a shared plan.
Background and approach
That plan can include practical skills from cognitive behavioral approaches to manage anxious thoughts and reduce worry. She also integrates techniques from dialectical behavior therapy to teach emotion regulation and distress tolerance. Mindfulness practices are used to help people connect with the present moment and calm a racing mind.
Motivational interviewing supports people who want change but feel stuck or unsure where to begin. Nikki describes her work as trauma-informed and LGBTQ+ affirming. She has experience with young adults who face anxiety, ADHD, depression, and life transitions like college adjustment or parental separation.
She helps people cope with grief, sleep problems, anger, and relationship stress as well. Sessions are collaborative and paced to each person’s needs. Nikki focuses on building skills clients can use day to day.
She helps parents and caregivers manage stress and supports people navigating questions about sexuality or non-traditional relationship styles. Her approach aims to be straightforward and practical. Sessions typically include goal-setting, skill practice, and regular check-ins to track progress and adjust strategies as needed.
How therapeutic approaches translate to online care
Client-Centered Therapy focuses on listening and building a plan around what matters to the person. Online sessions let the therapist reflect concerns, explore goals, and adjust pacing so people feel heard and understood.Cognitive Behavioral Therapy, or CBT, targets unhelpful thoughts and the behaviors that follow. In remote sessions this often looks like identifying anxious or negative thinking, practicing new ways of thinking, and assigning short exercises between meetings to test what works.
Dialectical Behavior Therapy, DBT, teaches emotion regulation, distress tolerance, and better interpersonal skills. Those skills translate well to online work through guided practice, skill coaching in real time, and step-by-step problem solving during sessions.
Finding the right approach is part of the work together. The therapist will collaborate with each person to choose methods that match their goals, preferences, and day-to-day life. Treatment plans can change as progress is made or needs shift.
Online therapy offers flexibility through video calls, phone sessions, live chat, and text messaging. Video is useful for in-depth conversations and skill practice, phone can be easier when bandwidth is limited, live chat or text can serve for brief check-ins or between-session coaching. This range of formats helps people fit therapy into busy schedules and supports different comfort levels with remote care.
Questions people ask
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What this therapist works with
Most often
Also listed
- ADHD
- Anger management
- Caregiver issues and stress
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Family conflicts
- Family problems
- Grief
- Mood disorders
- Parenting issues
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sexuality
- Sleeping disorders
- Social anxiety and phobia
- Women's issues
- Young adult issues
Therapeutic approaches
- Experience
- 5 years
- Licensed
- North Carolina
- Languages
- English
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