Nicole Randel

Practical, compassionate therapy for everyday struggles

LISW Iowa

Experience: 6 years in practice
Focus areas: Stress, Anxiety, LGBT, Intimacy-related issues
Approaches: Cognitive Behavioral Therapy (CBT), Acceptance and Commitment Therapy (ACT)
Languages: English

About Nicole

Nicole Randel is a Licensed Independent Social Worker (LISW) based in Iowa who helps people facing stress, anxiety, depression, relationship and intimacy concerns, eating and body-image issues, and LGBT-related matters.

Background and approach

She brings six years of clinical experience and offers a welcoming, nonjudgmental space where clients can explore difficult feelings, patterns, and life circumstances. Nicole draws on evidence-informed approaches including Cognitive Behavioral Therapy (CBT) along with acceptance-based and emotion-focused methods to address symptoms and relational concerns.

She emphasizes a client-centered stance, tailoring strategies to fit each person’s priorities and comfort level while combining practical skills with attention to underlying emotions.

Her practice attends to a wide range of related concerns such as attachment and abandonment issues, family of origin dynamics, communication and commitment problems, chronic illness and caregiver stress, and diverse sexuality and kink-related topics.

Nicole makes room for difficult stories and ordinary struggles alike, collaborating with clients to build clarity, coping skills, and more satisfying ways of relating to themselves and others.

Approach-oriented online therapy with flexible formats

Nicole integrates Cognitive Behavioral Therapy (CBT) and Acceptance and Commitment Therapy (ACT) into online work, using each approach to address different needs. CBT focuses on identifying and changing unhelpful thoughts and behaviors, which can help with anxiety, mood concerns, and eating-related patterns. ACT emphasizes values and acceptance, helping clients build a meaningful life alongside difficult emotions and persistent stress.

Choosing the right approach is part of the therapeutic process, and the therapist collaborates with each person to determine what fits best. Together they consider goals, preferences, and how interventions feel in practice, adjusting methods over time to match changing needs.

Online therapy is offered via video calls, phone sessions, live chat, and text-based messaging to make care more accessible and adaptable to busy lives. These formats allow clients to connect from home or other convenient locations, maintain continuity when schedules shift, and select the style of interaction that feels most comfortable while working on symptom relief, communication skills, and emotional resilience.

Frequently asked questions

What kinds of concerns does she address?

Nicole works with stress, anxiety, depression, eating and body-image concerns, intimacy-related issues, and LGBT topics, along with related issues such as attachment, abandonment, and family of origin dynamics.

What is her therapeutic style like?

Her work is client-centered and solution-oriented, blending evidence-informed techniques with acceptance and emotion-focused perspectives to help clients develop practical coping skills and deeper self-understanding.

How much clinical experience does she have?

She has six years of clinical experience as a licensed social worker working with a range of emotional and relational concerns.

What are her credentials and geographic location?

Nicole holds an LISW with license details IA LISW 091022 and practices from Iowa.

Does she offer services in other languages or to international clients?

Sessions are offered in English, and she is not currently accepting international clients.

Which session formats are available?

She provides video calls, phone sessions, live chat, and text-based messaging to accommodate different preferences and schedules.

How does billing and cost work?

Costs vary with location and therapist availability, and sessions use a subscription that can be canceled at any time.

What steps should I take to begin working together?

Begin by selecting the Start Therapy button, completing a short matching questionnaire, and then schedule sessions according to therapist availability.

Areas of expertise

Primary focus

Stress, AnxietyLGBTIntimacy-related issuesEating disordersDepression

Additional focus areas

AbandonmentAttachment issuesAutism and Asperger SyndromeBDSM, kink, and alternative sex cultureBody imageCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsDivorce and separationEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFertility issuesFirst responder issuesForgivenessGuilt and shameHIV / AIDSHospice and end-of-life counselingImpulsivityInfidelityLife purposeMen's issuesMidlife crisisPolyamory / non-monogamous relationshipsPost-traumatic stressPregnancy and childbirthProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-loveSex addictionSexual dysfunctionSexualityWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingNarrative TherapySolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

6+ years

Licensed

Iowa

Languages

English