About Nicole
Nicole Garza is a Licensed Clinical Social Worker (LCSW) who focuses on helping people manage stress, anxiety, depression, addiction, and trauma. She listens closely and helps clients set clear goals. Nicole aims to make sessions practical and grounded so people can use what they learn between meetings.
Nicole brings 13 years of clinical experience and a background that includes military service in the U.S. Army. That experience shaped her approach to structure, resilience, and working with tough problems like grief, compassion fatigue, and first responder issues.
How Nicole works
She applies that experience while staying warm and down to earth. Her work draws on several evidence-informed methods. She uses Acceptance and Commitment Therapy to help people identify values and take action toward them.
Cognitive Behavioral Therapy is used to spot unhelpful thoughts and change patterns. Dialectical Behavior Therapy helps with strong emotions and coping skills. Nicole also incorporates attachment-based ideas to look at patterns that repeat in close relationships.
Client-centered practices guide sessions so people feel heard and respected. She adapts these methods to fit the person and the problem at hand. In sessions she will help you set short-term goals and practical steps to reach them.
She focuses on building a trusting working relationship, checking progress, and adjusting plans as needed. Her goal is to help people find clearer thinking and steadier routines that improve daily life.
Nicole lists 10 ways of working on the entry:
What Nicole works with
The areas below are the ones Nicole selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- Anger management
- Attachment issues
- Bipolar disorder
- Body image
- Career difficulties
- Caregiver issues and stress
- Co-morbidity
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Domestic violence
- Drug and alcohol addiction
- Family conflicts
- Family of origin issues
- Family problems
- First responder issues
- Gender dysphoria
- Grief
- Guilt and shame
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- LGBT
- Life purpose
- Money and financial issues
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Social anxiety and phobia
- Somatization
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
Training and background
| Register | LCSW |
|---|---|
| Years in practice | 13 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | North Carolina |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Approaches that guide online sessions
Nicole commonly uses Acceptance and Commitment Therapy (ACT) to help people clarify what matters most to them and take small steps toward those values. ACT is useful for anxiety, stress, and when life changes make choices feel overwhelming.She also uses Cognitive Behavioral Therapy (CBT) to identify unhelpful thoughts and shift daily habits. CBT breaks problems into manageable parts and gives concrete tools for mood, sleep, and worry. Attachment-Based Therapy is another element she brings in to look at how relationship patterns affect emotions and trust in close connections.
Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, preferences, and what has or hasn’t helped before. Together they adapt methods and track progress so the plan stays practical and relevant.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video works well for deeper conversations and visual cues. Phone sessions can be a simpler option when bandwidth is limited or a shorter check-in is needed. Text and chat are useful for brief updates, between-session support, and flexible scheduling. These options make it easier to fit therapy into a busy life and keep continuity when routines change.
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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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