Nicole Randel, LISW

Nicole Randel is a Licensed Independent Social Worker (LISW) practicing in Iowa with six years of clinical experience. As an LISW she is authorized to provide independent social work services and brings a professional, compassionate approach to helping people manage stress, anxiety, depression, relationship and intimacy concerns, and eating and body-image issues. Nicole emphasizes a client-centered style that respects each person s unique story and priorities while drawing on evidence-informed methods to support change.

Her work addresses a broad range of concerns including LGBT-related issues, abandonment and attachment difficulties, autism and Asperger Syndrome, BDSM and kink matters, caregiver stress, chronic pain and illness, co-morbidity, codependency, commitment and communication problems, divorce and separation, emptiness, and family of origin issues. Nicole integrates approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, Emotionally-Focused Therapy, and client-centered techniques to tailor treatment to individual needs. She aims to create a relaxed, authentic therapeutic environment where clients can explore challenges, set goals, and develop practical skills for daily life.

Nicole welcomes inquiries from adults seeking supportive, individualized care. She partners with clients to clarify goals and to select therapeutic strategies that align with their values and circumstances, helping them move toward greater wellbeing over time.

Therapeutic approaches and online care

Acceptance and Commitment Therapy (ACT) helps clients clarify what matters most to them and build psychological flexibility by learning to accept difficult thoughts and feelings while taking committed action toward personal values. It can be useful for anxiety, depression, and struggles with motivation or meaning.

Cognitive Behavioral Therapy (CBT) focuses on identifying and changing unhelpful thinking patterns and behaviors. CBT offers practical skills for managing anxiety, stress, depressive symptoms, and disordered eating by teaching tools for problem solving, thought restructuring, and behavior change.

Client-Centered Therapy emphasizes a supportive, nonjudgmental relationship where the therapist follows the client s pace and priorities. This approach fosters self-exploration and emotional processing and often complements skills-based methods for long-term growth.

Finding the right approach is part of the therapeutic process. Nicole collaborates with each person to select and adapt methods based on their needs, goals, and preferences so therapy feels tailored and relevant.

Online therapy offers convenient options including video calls, phone sessions, live chat, and text-based messaging. These formats provide flexibility in scheduling, allow therapy to fit into busy lives, and make consistent care more accessible for people managing work, family, health, or geographic limitations. Licensed professionals can use these modalities to deliver structured treatment, check-ins, and ongoing support that align with clients practical needs.