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Nicole Randel

Therapist · Iowa

Nicole Randel

LISW

Compassionate, practical therapy for hard moments

  • 6 years' experience
  • Based in Iowa
  • Sessions online
  • Speaks English
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Opens BetterHelp, where you can review online therapy options and next steps.

  • Acceptance-based care
  • Practical coping skills
  • Focus on values

About Nicole

Nicole Randel is a Licensed Independent Social Worker (LISW) who helps people managing stress, anxiety, depression, and relationship or intimacy concerns. She speaks plainly and creates a calm space where people can bring hard things and move through them at their own pace.

Nicole uses practical tools and focused conversation to help people notice what matters to them. She emphasizes acceptance, awareness, and small changes that fit daily life. Sessions are down-to-earth and aimed at clear next steps rather than jargon.

With six years of clinical experience, Nicole has worked with a wide range of concerns. Her background includes supporting people with eating and body-image struggles, caregiver stress, chronic illness and pain, and issues related to attachment and abandonment. She also works with LGBT concerns and intimacy-related questions.

Nicole draws on several approaches to match each person’s needs. She blends acceptance and commitment ideas with cognitive and skill-based strategies, and keeps the work client-centered and emotionally aware. The result is a practical, compassionate style that helps people take manageable steps forward.

Nicole also has experience supporting people through grief and end-of-life topics. She aims to meet each person where they are and to help them find ways to cope, connect, and make choices that reflect their values. If you think this approach could fit, she invites you to reach out and begin a conversation.

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

Credentials

Iowa

Languages

English

Approaches that translate well to online care

Acceptance and Commitment Therapy (ACT) focuses on helping people notice their values and take small actions toward them. It uses simple exercises to change how someone responds to difficult thoughts and feelings and can help with anxiety, depression, and caregiving stress.

Client-Centered Therapy emphasizes listening and understanding. The therapist offers a nonjudgmental space where people can make sense of their experiences and decide on next steps. This approach supports emotional processing and clearer communication about intimate or identity-related concerns.

Cognitive Behavioral Therapy (CBT) gives practical tools to spot unhelpful thinking and try new behaviors. It often includes short exercises and homework that can be done between sessions to tackle patterns like worry, avoidance, or disordered eating.

Finding the right mix of these methods is part of the work. The therapist will collaborate with each person to pick approaches that match their goals, needs, and preferences. That plan can change over time as progress is made and new concerns come up.

Confirm current session options before booking, since specific formats are not listed here. Online therapy can help fit sessions into a busy life by reducing travel time, making it easier to schedule around work or caregiving, and allowing shorter or more frequent check-ins when needed. It also makes regular follow-up and skill practice easier to maintain between visits.

Frequently asked questions

What kinds of problems does Nicole help with?

She works with stress, anxiety, depression, eating and body-image concerns, LGBT-related issues, and intimacy-related struggles. Additional focus areas include caregiver stress, chronic illness and pain, attachment and abandonment issues, and family of origin concerns.

What is her therapeutic style like?

Her work is practical and client-centered, with an emphasis on acceptance, awareness, and clear next steps. Sessions aim to be straightforward and useful rather than academic.

How much experience does she have?

Nicole has six years of clinical experience working with a variety of concerns including grief, disordered eating, and first-responder related stress.

What are her credentials and where is she located?

She is a Licensed Independent Social Worker (LISW) practicing in Iowa.

Does she work in languages other than English or with international clients?

Sessions are offered in English. International clients are not currently accepted.

What session formats are available?

Please confirm current session format options before booking, as formats are not specified here.

How does billing and cost work?

Cost varies with location and therapist availability. Sessions use a subscription that can be canceled at any time.

How do I begin working with her?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

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