About Nicole
Nicole Randel is a Licensed Independent Social Worker who helps people facing stress, anxiety, depression, and eating concerns. She speaks plainly and aims to make therapy approachable for someone unsure where to start. Nicole works from Iowa and offers sessions in English.
Nicole focuses on everyday problems like body image, communication struggles, and feelings of emptiness. She also supports people working through attachment and abandonment issues, family of origin concerns, and the stress caregivers often carry.
Background and approach
Her work includes attention to chronic pain, illness, and co-occurring conditions. Her approach blends practical skills and emotional work. She draws on cognitive behavioral methods to identify unhelpful thoughts and build new coping steps.
She uses acceptance and commitment ideas to help people notice what matters and take actions that match their values. Nicole adds client-centered and emotionally focused elements so sessions stay grounded in each person’s needs. Dialectical behavior therapy strategies are used when people need help with intense emotions or stronger distress tolerance skills.
She tailors sessions to the problem at hand rather than following a rigid script. Nicole has six years of clinical experience as an LISW and has worked with a wide range of concerns related to mental health and relationships. People who like straightforward conversation and practical tools may find her style a good fit.
She invites questions and helps people plan next steps for care.
How specific approaches translate to online care
Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck, then choose actions that match what matters to them. It can be useful for anxiety, stress, and struggles with motivation. Cognitive Behavioral Therapy focuses on identifying unhelpful thinking patterns and testing them with small behavior changes to reduce distress and improve daily routines. It often helps with anxiety, depression, and eating-related concerns.Finding the right approach is part of the work. The therapist will talk with each person about their goals, symptoms, and preferences and then suggest which methods to try first. Clients and the therapist decide together whether to use acceptance-based practices, CBT techniques, emotion-focused conversations, or a mix of these tools during online sessions.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which let people fit care into busy schedules. Video is useful for full sessions that include visual cues, phone calls can work when bandwidth is limited, and chat or messaging is handy for brief check-ins or when typed communication feels easier. These options aim to increase flexibility and make it easier to use therapeutic tools between appointments.
Questions people ask
What kinds of problems does she help with?
What is her overall therapy style?
How much clinical experience does she have?
Where is she based and licensed?
Which languages are offered for sessions?
Can people outside the U.S. work with her?
How are sessions delivered and what formats exist?
How does cost and scheduling work?
What this therapist works with
Also listed
- Abandonment
- Attachment issues
- Autism and Asperger Syndrome
- BDSM, kink, and alternative sex culture
- Body image
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Codependency
- Commitment issues
- Communication problems
- Depression
- Divorce and separation
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- HIV / AIDS
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Life purpose
- Men's issues
- Midlife crisis
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Pregnancy and childbirth
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-love
- Sex addiction
- Sexual dysfunction
- Sexuality
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 6 years
- Licensed
- Iowa
- Languages
- English
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