Nicole Randel

Nicole Randel is a Licensed Independent Social Worker (LISW) practicing in Iowa. She greets clients with warmth and directness. She aims to make the first step less hard and helps people talk through stress, anxiety, depression, eating and intimacy concerns in a straightforward way.

Nicole uses Trauma-Focused Therapy alongside other methods to address painful memories and their effects on daily life. She also draws on Acceptance and Commitment Therapy to help people clarify values and take small steps toward them. Sessions emphasize practical skills, tolerable pacing, and real-world problem solving.

Her style is client-centered and collaborative. She listens first, and then offers tools from Cognitive Behavioral Therapy and Dialectical Behavior Therapy where those skills fit. Nicole keeps things grounded and will match the pace to each person’s needs.

Nicole has six years of clinical experience and holds an IA LISW license. She has worked with people facing chronic health issues, caregiver stress, and complex eating concerns. She also has experience with issues like abandonment, attachment, and family of origin patterns.

People with LGBTQ concerns, intimacy-related struggles, or those dealing with chronic pain often seek her out. She also has background supporting those connected to emergency services and understands vicarious trauma. To start, she asks people to complete a short questionnaire so she can match therapy to their goals.

How Nicole Uses Approaches Online

Trauma-Focused Therapy helps people work through distressing memories and the ways those memories show up now. In sessions this approach looks at the impact of events, teaches grounding tools, and helps clients tolerate difficult feelings while moving toward their goals.

Acceptance and Commitment Therapy (ACT) focuses on values and small practical steps. It helps people accept difficult thoughts and feelings while choosing actions that matter to them. This can be useful for anxiety, depression, and struggles with meaning or motivation.

Finding the right approach is a shared process. The therapist listens to your concerns and goals, then recommends methods that fit. Clients and the therapist check in and adjust the plan as needed so therapy stays relevant to what’s happening in life.

Confirm the current session options before booking because formats are not specified in the biography. Online therapy can make it easier to fit sessions into a busy schedule, reduce travel time, and allow shorter check-ins when helpful. It also enables continuing work when location or health make in-person meetings difficult. Licensed professionals aim to match the mode of meeting to the client’s needs and daily routines.