- Stress and anxiety
- Eating and body image
- Attachment and intimacy
About Nicole
Nicole Randel is an Iowa LISW (Licensed Independent Social Worker) with six years of clinical experience. She works with adults facing stress, anxiety, depression, eating and intimacy-related concerns, and people exploring LGBT issues. Nicole meets people who feel stuck after changes at work, in relationships, or with health, and helps them figure out practical next steps.
Her approach emphasizes practical tools and clear conversation. She draws on cognitive behavioral methods to identify thinking patterns and acceptance and commitment ideas to help people clarify values and take value-driven action. Emotionally-Focused Therapy elements guide conversations about closeness and attachment when intimacy or family-of-origin concerns come up.
Sessions look at everyday habits, communication, and how past relationships shape current feelings. Nicole uses client-centered dialogue to listen, reflect, and help people name what matters. She also incorporates skills from dialectical behavior therapy when emotion regulation and distress tolerance are needed.
Nicole has experience with a wide range of related issues, including abandonment, attachment struggles, body image, caregiver stress, chronic illness and pain, codependency, commitment and communication problems, divorce and separation, emptiness, and concerns tied to autism and Asperger syndrome. She also supports people navigating BDSM, kink, and alternative sex culture topics and those facing co-morbid or complex presentations.
Conversations are straightforward and practical. People can expect focused work on current goals, with a mix of skill-building and reflection. Nicole aims to help each person identify realistic next steps and ways to test what feels most useful in daily life.
How Nicole uses evidence-based methods online
Nicole commonly draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in her work. ACT focuses on clarifying what matters and taking small actions that reflect those values, which can help when someone feels directionless after a life change. CBT breaks down unhelpful thinking and behavior patterns and teaches concrete skills for managing anxiety, depression, and eating concerns.Finding the right approach is part of the work. Nicole treats the choice of method as collaborative and will help clients try different techniques to see what fits their goals and preferences. Together they decide which strategies to prioritize and how to test them in day-to-day life.
Session logistics should be confirmed before booking since formats were not specified in the biography. Online work can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and reduce travel time. If you want to know which session types she currently offers, confirm the available formats when you set up the first appointment.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
6+ years
Listed in
Iowa
Languages
English
Frequently asked questions
What concerns does she work with?
She works with stress, anxiety, depression, eating and intimacy-related issues, and LGBT concerns, plus related topics such as attachment, body image, chronic illness, and caregiver stress.
How does she approach feeling stuck?
She uses practical conversation and skills-based methods, combining cognitive behavioral techniques with acceptance and commitment ideas to help clarify values and take manageable steps forward.
How long has she been practicing?
She has six years of professional experience as a social worker in clinical settings.
What credential does she hold and where is she based?
She is an LISW (Licensed Independent Social Worker) practicing in Iowa.
Are sessions available in other languages?
Sessions are offered in English.
Does she work with international clients?
She is not currently accepting international clients.
How are sessions billed?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What do I do to start a first session?
Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session through the platform.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.