About Nicole
Nicole Markealli is a licensed mental health counselor based in Washington. She has 14 years of experience helping people manage stress, anxiety, low self-esteem, and depression. She also supports individuals facing relationship tensions and family conflict.
Nicole focuses on respectful, sensitive care. She listens first and adapts conversations to each person's needs. Her aim is to make the work clear and manageable so progress feels realistic.
Sessions typically start by identifying the main concerns and practical goals.
Background and approach
From there she and the client shape a plan that fits daily life. This can include learning coping skills, practicing new ways of communicating, and building confidence step by step. Nicole encourages people who feel nervous about starting to recognize that taking one small step matters.
She matches the pace to each person so the work does not feel overwhelming. People often appreciate straightforward guidance and steady support. She offers multiple session formats to fit different schedules and preferences.
Conversations are tailored to what matters most to the client, whether that is managing anxiety, repairing a relationship pattern, or improving self-esteem.
Approaches that guide online sessions
Nicole uses evidence-based therapeutic techniques that focus on real-life skills and clear goals. One common approach helps people learn coping strategies for stress and anxiety, such as breathing exercises, grounding techniques, and step-by-step plans for facing difficult situations. These tools are useful when anxiety or worry gets in the way of daily tasks or relationships.Another frequent focus is communication and problem-solving for relationship and family concerns. This involves practicing new ways to speak and listen, setting boundaries, and creating small behavior changes that reduce conflict. These methods aim to improve day-to-day interactions and build confidence in handling tense moments.
Finding the right approach is a shared process. The therapist will talk with each person about symptoms, goals, and what feels doable, then pick techniques that match those needs. Clients help shape the pace and focus so the work fits their life and preferences.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video calls are close to an in-person meeting and let people use visual cues. Phone sessions can be a good option when bandwidth is limited or for short check-ins. Live chat and text messaging offer quick check-ins and ongoing support between sessions. These options make it easier to fit therapy into busy schedules and different routines.
Questions people ask
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What is her general therapy style?
How much experience does she have?
What are her credentials and where is she located?
In which languages can sessions be held?
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Experience
- 14 years
- Licensed
- Washington
- Languages
- English
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