Nicole Randel, LISW

Nicole Randel is a Licensed Independent Social Worker (LISW) who focuses on helping people manage stress, anxiety, depression, and challenges tied to living with health conditions. She creates a calm, nonjudgmental space where people can talk about intimate concerns, body image, eating struggles, and issues tied to identity and relationships. Nicole uses straightforward language and a warm presence to help people sort through what matters most to them.

Nicole emphasizes practical strategies alongside emotional support. She draws from approaches that help people notice painful thoughts, try different actions, and build skills for day-to-day coping. Sessions are collaborative and paced to the person’s needs, with room for humor when it helps relieve tension.

Her background includes six years of clinical experience in social work, and she holds an Iowa LISW credential. Nicole has worked with people facing chronic pain, illness, disability, caregiver stress, and eating and food-related concerns. She also has experience addressing attachment and abandonment concerns, communication and commitment struggles, and issues that arise from family of origin dynamics.

Nicole is comfortable discussing intimacy-related topics, kink and alternative sex culture, and concerns connected to LGBT identity. She also has experience with co-occurring challenges and the complex interaction of mental and physical health. The goal in sessions is practical change - clearer choices, better coping, and a stronger sense of personal direction.

If someone wants to begin, the usual next step is to select the Start Therapy button and complete a short matching questionnaire before scheduling based on the therapist’s availability.

How therapy approaches translate to online care

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match their values. It is useful for anxiety, chronic illness distress, and problems that come from feeling stuck. Cognitive Behavioral Therapy (CBT) focuses on identifying patterns of thought and behavior that keep problems going, then testing small changes that reduce symptoms. It’s often used for depression, anxiety, and eating-related concerns. Emotionally-Focused Therapy (EFT) centers on understanding emotions in relationships and within the self to repair connection and reduce emotional pain. It can help with intimacy-related issues and attachment concerns.

Choosing the right approach is part of the work. The therapist will talk with the person about goals, preferences, and what has helped or not helped in the past. That collaborative process shapes which methods are emphasized and how sessions unfold over time.

Online therapy can make it easier to fit sessions into a busy life, reduce travel time, and allow for shorter check-ins when needed. Because the biography does not list specific session formats, confirm current options before booking so logistics match your needs. Licensed professionals can adapt ACT, CBT, or EFT techniques to remote sessions, helping with coping skills, emotional regulation, and clearer decision making without promising a particular delivery method.