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Nicole Randel, LISW

Compassionate LISW specializing in stress and trauma
  • Trauma informed care
  • LGBTQ affirming support
  • First responder expertise

About Nicole Randel

Nicole Randel is a Licensed Independent Social Worker (LISW), a credential that indicates she is qualified to provide independent clinical social work services, and she practices in Iowa with six years of clinical experience. She focuses on creating a welcoming, nonjudgmental environment where people can explore their circumstances, relationships, and internal experiences at a pace that feels right for them.

Nicole works with a wide range of concerns, including stress, anxiety, depression, eating and body image issues, intimacy-related challenges, and matters affecting LGBTQ clients. Her practice also addresses attachment and abandonment wounds, family of origin dynamics, caregiver stress, chronic illness and pain, codependency, communication difficulties, and relationship transitions such as divorce and separation. She has experience supporting people who work in emergency services and is trained in A-TIP, which is a method for processing acute traumatic incidents.

Her approach blends solution-focused thinking with trauma-informed awareness and client-centered principles, offering practical coping skills while honoring each person s values and goals. Nicole aims to build an authentic therapeutic relationship and, when appropriate, may use a bit of dark humor to ease tension and deepen connection. She emphasizes collaboration, tailoring interventions from modalities such as ACT, CBT, DBT, and emotionally focused work to suit each client s needs.

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 Approach

Acceptance and Commitment Therapy (ACT) Client-Centered Therapy Cognitive Behavioral Therapy (CBT) Dialectical Behavior Therapy (DBT) Emotionally-Focused Therapy (EFT) Mindfulness Therapy Motivational Interviewing Narrative Therapy Solution-Focused Therapy Trauma-Focused Therapy Internal Family Systems

Frequently Asked Questions

How much experience does Nicole Randel have?

Nicole Randel has 6 years of experience.

Is Nicole Randel a licensed therapist?

Yes, she holds the LISW credential. License details are IA LISW 091022.

In which languages does Nicole Randel provide therapy?

Therapy is provided in English.

Where is Nicole Randel located?

She is located in Iowa.

How can I work with Nicole Randel as my therapist?

You can work with Nicole Randel through video calls, phone sessions, live chat, or text-based messaging.

Does Nicole Randel work with international clients?

Nicole Randel does not currently work with international clients.

How much does therapy with Nicole Randel cost?

The cost of therapy can vary depending on factors such as your location and the therapist's availability. Sessions are billed through a subscription that can be canceled at any time, for any reason. For current details, just click the "Start Therapy" button on this page.

How can I get started with therapy?

Getting started with therapy is quick and straightforward. Just click the "Start Therapy" button and complete a short questionnaire that helps match you with your therapist. Depending on availability, you can then schedule your first session, which may take place by phone, video call, live chat, or in-app messaging.

Approaches that translate well to online therapy



Nicole frequently integrates Acceptance and Commitment Therapy and Cognitive Behavioral Therapy into her online work. ACT focuses on helping people clarify their values and take committed action even in the presence of difficult thoughts and feelings - it is useful for stress, depression, and chronic health challenges. CBT concentrates on identifying unhelpful thinking patterns and developing practical skills to change behavior and emotion, which can be effective for anxiety, mood concerns, and disordered eating.

She also draws from client-centered principles, which prioritize empathy, active listening, and collaboration so that the therapeutic direction is shaped by the client s own goals. Finding the right combination of approaches is part of the therapeutic process - Nicole works with clients to determine what methods fit their needs, preferences, and goals and adjusts the plan as progress is made.

Online sessions with licensed professionals offer practical flexibility - clients can choose video calls, phone sessions, live chat, or text-based messaging to fit their schedules and communication style. These options make it easier to maintain continuity of care across busy lives, reduce travel time, and allow clients to engage in therapy from settings that feel comfortable for them.

Ready to start therapy with Nicole Randel?

Take the first step toward a better you.