Nicole Randel, LISW

Nicole Randel is an Iowa LISW - Licensed Independent Social Worker with six years of clinical experience. She works with adults dealing with stress, anxiety, depression, relationship and intimacy concerns, eating and body-image issues, and codependency. Sessions are offered in English and focus on practical ways to manage day-to-day strain.

Nicole draws from several evidence-informed approaches to shape sessions. She uses Acceptance and Commitment Therapy to help people notice painful thoughts and act on clearer values. She applies Cognitive Behavioral Therapy to identify unhelpful thinking patterns and test new behaviors. Elements of Dialectical Behavior Therapy and Emotionally-Focused Therapy are included when learning emotion regulation and improving connection feels relevant.

In the room she aims for straightforward, client-centered work. Conversations tend to focus on what causes distress now and what can change in small steps. She pays attention to attachment and abandonment concerns and to how family of origin or past relationships influence present choices.

Nicole also lists experience with autism spectrum traits, BDSM and kink communities, caregiver stress, chronic illness and co-morbid conditions. She can talk through communication problems, commitment worries, and the ways people-pleasing shows up in relationships. Practical skills and behavioral experiments are common parts of sessions.

Her practice includes attention to first-responder stress and related trauma responses. When relevant, she blends mindfulness-based practices with skills training to help people tolerate strong feelings. To begin a working relationship clients are asked to use the platform’s onboarding steps to match and schedule an initial session.

How her approaches translate to online sessions