Nicole Markealli, LMHC

Nicole Markealli is a licensed mental health counselor practicing in Washington with 14 years of professional experience. As an LMHC - Licensed Mental Health Counselor - she works with adults facing stress, anxiety, relationship and family challenges, low self esteem, motivation concerns, and depression. Nicole approaches each person with respect, sensitivity, and compassion, shaping conversations and treatment plans to address individual needs and goals.

Her practice emphasizes practical, evidence-based techniques tailored to the situation at hand, and she partners with clients to identify strategies that fit their lives. Whether someone is navigating conflicts at home, seeking greater confidence, or managing persistent worry, Nicole aims to provide supportive, goal-oriented care designed around the client rather than a one-size-fits-all model.

Recognizing that reaching out for help takes courage, she affirms and supports that first step, guiding clients through a collaborative process to set priorities and make steady progress toward meaningful change.

Evidence-based techniques and flexible online care

Nicole uses evidence-based therapeutic techniques that include cognitive and behavioral strategies to help people identify unhelpful thinking patterns and develop practical coping skills for anxiety, stress, and low mood. These approaches focus on changing thoughts and behaviors in ways that reduce distress and improve daily functioning.

She also employs skills-based work for relationships and family concerns, teaching communication, problem-solving, and boundary-setting techniques that can ease conflict and strengthen connection. These practical skills support healthier interactions and clearer expectations within relationships and families.

Finding the right approach is part of the therapeutic process and is done collaboratively. Nicole will work with each person to determine which techniques best match their needs, goals, and preferences, adjusting the plan as progress is made.

Online therapy options - including video calls, phone sessions, live chat, and text-based messaging - make it easier to fit therapy into a busy life and to access help from home. These formats offer flexibility in scheduling and allow clients to engage in treatment in ways that feel most manageable and effective for them.