About Mark
Mark Sikora greets people in Washington who are looking for steady, experienced support during hard times. He brings a calm, direct style and a long career as a licensed independent clinical social worker. Mark emphasizes practical steps and respectful listening for people trying to get through worry, loss, or big life changes.
He helps people sort out anxiety, depression, trauma, grief, relationship strain, and challenges like addiction or attention difficulties.
How Mark works
He also works with concerns such as sleep and eating problems, anger, self-esteem, caregiver stress, and career uncertainty. His approach is straightforward and aimed at everyday improvements in thinking and feeling. Mark uses methods drawn from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, and Client-Centered work to match the needs of each person.
He combines skills-based strategies with supportive conversation so people can try new ways of coping and notice what helps. He also draws on elements of Dialectical Behavior Therapy and the Gottman Method as useful tools when appropriate.
With four decades of practice as a LICSW - licensed independent clinical social worker - Mark relies on experience helping people manage complex and changing problems. He recognizes grief can shift shape over time, and he focuses on practical steps people can use between sessions. The work tends to be collaborative, with clear goals and simple interventions.
People who choose Mark often want a steady guide through distressing events and ongoing struggles. He aims to be present, straightforward, and hopeful while helping people build skills and move toward more manageable days.
Mark lists 10 ways of working on the entry:
What Mark works with
The areas below are the ones Mark selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
- Relationship issues
- Family conflicts
- Trauma and abuse
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating disorders
- Emptiness
- Family problems
- Fatherhood issues
- First responder issues
- Gender dysphoria
- Grief
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hospice and end-of-life counseling
- Impulsivity
- Infidelity
- Intellectual disability
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Sexual assault and abuse
- Sexual dysfunction
- Sleeping disorders
- Social anxiety and phobia
- Stress, Anxiety
- Traumatic brain injury
- Veteran and Armed Forces Issues
- Visually impaired
- Workplace issues
- Young adult issues
Training and background
| Register | LICSW |
|---|---|
| Years in practice | 40 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | Washington |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches that translate to online care
Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck, then move toward personal values and action. It can be useful for anxiety, depression, and coping with life transitions. Cognitive Behavioral Therapy focuses on identifying unhelpful thought patterns and testing small behavior changes to ease symptoms like worry, low mood, or sleep problems. Client-Centered Therapy emphasizes listening, empathy, and the client's own goals, helping people feel heard while they work through issues.Finding the right fit is a shared process. The therapist will work with each person to choose or combine approaches based on goals, preferences, and what is actually helping. That collaborative decision is revisited as progress is made and needs change.
Online formats include video calls, phone sessions, live chat, and text-based messaging, which offer flexibility for different days and routines. Video calls let people use visual cues and more in-depth conversation. Phone sessions can be easier when bandwidth is limited or for a shorter check-in. Live chat and text messaging can work for quick updates, brief coaching, or when a written exchange feels more comfortable. These options make it simpler to fit therapy into work, caregiving, or other life demands.
Start online instead of waiting
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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