- Stress and anxiety
- Guilt and shame
- Sexuality and kink
About Nicola
Nicola Fulk is an LCSW (Licensed Clinical Social Worker) practicing in Arizona with nine years of experience. Nicola works with adults on stress, anxiety, bipolar disorder, depression, LGBT concerns, self-esteem, and related mood and relationship issues including guilt and shame. Sessions focus on reducing unwanted symptoms and building more manageable day-to-day patterns.
Nicola uses a mix of approaches that help people notice unhelpful thinking and try new behaviors. Nicola describes the work as directive and goal-oriented. That means sessions often include identifying patterns, practicing mood regulation skills, and setting clear steps to change routines that keep problems going.
Clients can expect practical conversation and active feedback. Nicola emphasizes acceptance alongside change - helping people make room for difficult feelings while also moving toward what matters to them. The therapist supports authenticity and self-direction rather than prescribing a single solution.
Nicola also engages with topics that include sexuality, kink and BDSM culture, gender dysphoria, polyamory and non-monogamous relationships, and questions of life purpose. Nicola addresses self-harm, panic, personality concerns, and social anxiety with focused strategies and behavior change work.
Sessions are intended to be collaborative. Nicola will help clarify goals and check progress so each person can see whether the steps they’re taking are helping them feel differently about themselves and their choices.
How evidence-based methods translate to online work
Nicola uses Acceptance and Commitment approaches that help people notice painful thoughts and choose actions that match their values. That work often focuses on clarifying what matters to the person and practicing small behaviors that move them closer to those goals.Nicola also uses trauma-informed cognitive behavioral strategies to identify and change thinking patterns that fuel mood swings and anxiety. Those techniques include tracking moods, testing unhelpful beliefs, and learning practical skills for regulating emotion and behavior in daily life.
Finding the right approach is collaborative. Nicola will review goals, try techniques, and adjust based on what helps. The client and therapist check progress together and pick the methods that best fit the person’s needs and preferences.
Session formats and scheduling should be confirmed before booking. The practical benefits of online sessions generally include easier fitting of appointments into work or family routines, shorter check-ins when needed, and fewer disruptions for people who need to avoid travel. Confirm the current session options and timing before you schedule so you know what to expect.
Areas of expertise
Primary focus
Additional focus areas
Experience
9+ years
Listed in
Arizona
Languages
English
Frequently asked questions
What kinds of problems does Nicola address?
She works with adults on stress, anxiety, bipolar disorder, depression, self-esteem, LGBT questions, and related areas such as guilt and shame and sexuality.
How would Nicola approach feelings of shame or guilt?
She uses a practical, goal-oriented style that combines noticing unhelpful thoughts with learning new behaviors and mood regulation skills to reduce those feelings over time.
What is her background and experience?
Nicola has nine years of clinical experience as an LCSW working with adults on mood and relationship concerns.
Where is Nicola based and what credential does she hold?
She practices in Arizona and holds the credential AZ LCSW as a Licensed Clinical Social Worker.
Does Nicola offer sessions in other languages?
Sessions are offered in English.
Are international clients accepted?
International clients are not currently accepted.
How are sessions arranged and paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin if I want to work with Nicola?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.