- Acceptance and Commitment Therapy
- Cognitive Behavioral Therapy
- Client-Centered Therapy
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 LGBTQ issues. People who carry guilt or shame connected to relationships, identity, or body image may find her practical focus helpful.
Nicole uses clear, goal-oriented methods and a straightforward style in sessions. She blends Acceptance and Commitment Therapy, cognitive behavioral techniques, and client-centered work to help people notice unhelpful patterns and try different responses. Sessions often include mindfulness skills and emotion regulation tools from DBT and EFT when those fit the problem.
Her approach is trauma-informed and solution-minded. She listens to what matters most and then tests small changes that can reduce intense feelings. Conversations are direct and occasionally threaded with dry humor when appropriate. Nicole aims to make therapy readable and usable for everyday life.
Nicole has worked across a range of concerns that overlap with guilt and shame, such as attachment and family of origin issues, body image and eating-related problems, codependency and commitment struggles, and caregiver stress. She also has experience with chronic illness, disability, and neurodiversity including autism and Asperger syndrome.
Sessions are conducted in English from Iowa and follow her LISW scope of practice. If someone wants to begin, the usual first step is a short matching questionnaire and scheduling an initial visit to see how well her methods fit the need.
How her approaches work in online sessions
Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts and feelings without being ruled by them, and then choose actions that match their values. It can be helpful for guilt and shame that keeps someone stuck in avoidance. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings, and behaviors feed each other and tests small behavioral experiments to reduce distress and change patterns. That approach is practical for anxiety, depression, and body image concerns.Finding the right approach is part of the work. The therapist will discuss options and try methods together based on the client's goals and preferences. This is a collaborative process - adjustments are made if a technique doesn't feel helpful or relevant.
The biography does not list specific session formats, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy week, require less travel, and allow for shorter check-ins when needed. Video can support exercises that use worksheets and real-time coaching, while phone sessions use less bandwidth and can be better for quick updates or when a quieter setup is needed. Many people find remote work helps them keep therapy consistent alongside caregiving, work, and daily responsibilities.
Areas of expertise
Primary focus
Additional focus areas
Therapeutic approaches
Experience
6+ years
Listed in
Iowa
Languages
English
Frequently asked questions
What kinds of issues does she address related to guilt and shame?
She works with stress, anxiety, depression, eating and intimacy-related issues, plus family of origin and attachment concerns that often underlie guilt and shame.
How would you describe her therapeutic style?
Her style is solution-focused and client-centered, using practical skills from ACT, CBT, DBT, and EFT to help people change patterns and manage strong emotions.
How much experience does she have?
She has six years of clinical experience as an LISW working with a range of mood, relationship, and identity-related concerns.
Where does she practice and what credential does she hold?
She practices in Iowa and holds the credential IA LISW - Licensed Independent Social Worker in that state.
Does she work in languages other than English or take international clients?
Sessions are offered in English. She does not accept international clients at this time.
What session formats are available?
The original biography does not specify session formats. Confirm current session options before booking to know whether sessions are remote or in-person.
How is cost handled for sessions?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
How do I begin if I want to work together?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session to get started.
Online talk therapy is not emergency care. If you are in danger or thinking about harming yourself, use the crisis numbers.