Profile / United States
Nicole Randel, LISW
Iowa
Iowa LISW - stress and anxiety help
See online therapy options- Cognitive Behavioral Therapy
- Acceptance and Commitment Therapy
- Client-centered sessions
About Nicole
Nicole Randel is an Iowa LISW with six years of clinical experience. She works with people dealing with stress, anxiety, eating concerns, depression, intimacy-related issues, and LGBT-related concerns. She describes practical, straightforward care that focuses on what is causing day-to-day difficulty.
She uses Cognitive Behavioral Therapy alongside Acceptance and Commitment Therapy and other approaches to help people notice unhelpful thoughts and habits. Sessions aim to surface patterns that make problems worse and test alternative ways of responding. Nicole keeps language direct and concrete so people can try changes between meetings.
Her background includes working with people who face ongoing health challenges, caregiving strain, body image and eating-related issues, and attachment or abandonment concerns. She also addresses communication problems, commitment worries, and conflicts rooted in family of origin. Nicole lists experience with autism and Asperger Syndrome and with people who navigate BDSM, kink, and alternative sex culture.
Therapy sessions focus on practical skills and problem-solving paired with attention to feelings and relationships. Techniques drawn from Dialectical Behavior Therapy and Emotionally-Focused Therapy are used when they fit the concern. Nicole describes a client-centered stance - she listens first and then builds steps you can try.
Sessions are presented in plain terms and aim to be useful on a daily level. Prospective clients are encouraged to review online therapy options, complete intake steps, and schedule a first session to see how the approach fits their goals.
How cognitive and behavioral methods work in online sessions
CBT focuses on identifying unhelpful thoughts and habits and testing small behavior changes. It is useful for anxiety, stress, low mood, and problems that come from repetitive thinking patterns.Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings while clarifying what matters to them. It supports building actions that move toward personal values even when emotions are difficult.
Client-centered therapy emphasizes listening and reflecting so the person can set the pace and goals. This approach helps when someone needs a straightforward, respectful space to sort out priorities and try practical steps.
Finding the right approach is part of the work. The therapist will review goals, symptoms, and preferences and then recommend which methods to try. That decision is collaborative and can change as progress is made.
Confirm current session formats before booking so you know what is offered for online work. Online sessions can make it easier to fit appointments into a busy week, reduce travel time, and allow a shorter check-in when schedules demand it. Licensed professionals often combine skills from CBT and ACT to keep sessions focused and practical while adapting to what each person needs.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
6+ years
Listed in
Iowa
Languages
English
Frequently asked questions
What kinds of problems does she focus on?
She focuses on stress, anxiety, depression, eating and body image concerns, intimacy-related issues, and LGBT-related concerns. Additional areas include attachment, abandonment, caregiving stress, chronic health issues, and family of origin problems.
How would she describe her therapeutic style?
She uses a practical, problem-focused style that combines Cognitive Behavioral Therapy with ACT and client-centered practices. The work emphasizes noticing thoughts and habits and trying different ways of responding.
How much clinical experience does she have?
She has six years of experience as a Licensed Independent Social Worker. That clinical time includes work with a range of emotional and behavioral concerns.
Where is she licensed to practice?
She holds an Iowa LISW credential and practices in Iowa.
What languages are supported in sessions?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients.
How are sessions paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin scheduling a session?
Start by selecting the See online therapy options button, complete the short matching questionnaire, and schedule a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.