Nicole Osti, LCSW, CSW

Nicole Osti is a Licensed Clinical Social Worker with nine years of experience spanning direct clinical practice and case management. She holds the credentials LCSW (Licensed Clinical Social Worker) and CSW (Clinical Social Worker) and works with people facing a broad range of concerns, including depression, anxiety, relationship transitions, and work-related stress.

Her practice has focused largely on children, teens, and young adults, and she is currently expanding her work to include older adults. Nicole brings a warm, interactive style to sessions and emphasizes respect and compassion while avoiding stigmatizing labels. She combines cognitive-behavioral strategies with rational-emotive techniques and a solution-focused mindset, selecting methods that fit each person’s needs.

Nicole tailors treatment plans to the individual, addressing issues such as self-esteem, communication problems, grief, and life changes while supporting practical coping skills. She encourages clients to take courageous steps toward a more fulfilling life and offers collaborative guidance to help them meet their goals. Nicole welcomes those ready to begin the work of change and aims to empower clients through each step of the therapeutic process.

Evidence-Based Approaches and Online Care

Nicole most often uses cognitive-behavioral therapy and rational-emotive therapy, along with a solution-focused mindset. Cognitive-behavioral therapy helps people identify and shift unhelpful thinking patterns and behaviors, which can reduce symptoms of anxiety, depression, and stress. Rational-emotive therapy targets rigid or self-defeating beliefs and supports clients in developing more balanced and constructive ways of thinking. Solution-focused work emphasizes practical goals and small, achievable steps to create change when facing life transitions or relationship challenges.

Finding the right approach is part of the therapeutic process. Nicole works collaboratively with each person to determine which techniques fit their needs, goals, and preferences, adjusting the plan as progress is made. This collaborative stance helps ensure treatment aligns with what matters most to the client.

Online therapy offers flexibility for those balancing work, school, or caregiving. Nicole provides video calls, phone sessions, live chat, and text-based messaging so clients can choose the format that best fits their schedule and comfort level. These options make it easier to access care from licensed professionals and continue therapy even when life is busy or changing.