Nicole Randel , LISW

Nicole Randel is a Licensed Independent Social Worker (LISW) with six years of clinical experience who focuses on helping people navigate stress, anxiety, depression, eating concerns, intimacy-related issues, and LGBTQ matters. She creates an atmosphere that is relaxed, authentic, and trauma-informed, inviting clients to explore their experiences and circumstances without judgment. Nicole’s style blends solution-focused strategies with client-centered care, meeting each person where they are and supporting practical steps toward change.

She has worked with clients as young as four and brings particular experience supporting emergency services personnel, including nurses, medical providers, EMTs, and paramedics. Nicole is trained in A-TIP, acute traumatic incident processing, and has developed expertise addressing first-responder vicarious trauma, grief and loss, chronic health challenges, and disordered eating. Her practice aims to be approachable and straightforward, and she appreciates using humor, including darker wit, when it fits a client’s personality and therapy goals.

Nicole emphasizes collaboration and respect for each client’s pace and priorities. Prospective clients can expect a practical, empathetic approach that honors lived experience while offering tools and perspectives to help manage symptoms and improve daily functioning.

Therapeutic Approaches and Online Care

Nicole uses several evidence-informed approaches to meet different needs. Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, and encourages action guided by personal values - it can be useful for anxiety, chronic health challenges, and persistent stress. Client-Centered Therapy focuses on empathy, respect, and collaboration; the therapist follows the client’s lead to support self-discovery and emotional growth, which can be especially helpful for identity, relationship, and exploration work. Cognitive Behavioral Therapy (CBT) offers practical skills to identify and change unhelpful thought and behavior patterns, making it effective for anxiety, depression, and eating-related concerns.

Finding the right approach is part of therapy, and Nicole works collaboratively with clients to determine which methods fit best for their goals, preferences, and circumstances. That process can shift over time as needs evolve, and she tailors techniques accordingly.

Online therapy provides flexibility and easier access to care. Video calls allow face-to-face connection, phone sessions offer convenience when video is not possible, and live chat or text-based messaging can support ongoing check-ins or shorter conversations between sessions. These options help people balance therapy with busy schedules, caregiving duties, shift work, or mobility limits while maintaining continuity of support.