About Nicole
Nicole Markealli is a Washington-based licensed mental health counselor with 14 years of experience helping people facing stress, anxiety, relationship strain, family conflict, low self-esteem, and depression. She meets people where they are and focuses on practical steps that fit each person's life. Nicole aims to make starting therapy feel doable and respectful.
In sessions she listens without judgment and adapts the conversation to match what a person needs. She works with clients to set clear goals and use straightforward strategies to reduce overwhelm and build confidence.
How Nicole works
She emphasizes small, achievable changes over quick fixes. Her work often centers on reducing anxious thoughts and improving communication in relationships. Nicole helps people untangle family conflict and strengthen motivation.
She also supports people who want to feel more self-assured and steady in daily life. Nicole draws on evidence-based therapeutic techniques tailored to each situation. She and the client shape a treatment plan together and adjust it as progress is made.
The focus stays on what helps the client function better and feel more capable. Starting therapy can feel hard, and Nicole acknowledges that first step. She encourages people to pace themselves and take ownership of the process.
Her approach combines practical skills, steady support, and a respectful, compassionate stance.
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.
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
Training and background
| Register | LMHC |
|---|---|
| Years in practice | 14 |
| 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
Evidence-based techniques and flexible online care
Nicole uses evidence-based therapeutic techniques that focus on practical change. One common approach emphasizes learning skills to manage anxious thoughts and reduce stress; it teaches simple exercises to interrupt worry and calm the body. Another approach focuses on improving communication and problem-solving in relationships so interactions become clearer and less reactive. Finding the best approach is a team effort. Nicole works with each person to identify goals, tries techniques, and adjusts the plan based on what feels helpful. She explains options in plain language and collaborates on the path forward so the therapy matches a person's needs and preferences. Online therapy offers several practical advantages. Video calls let people have longer, face-to-face conversations when that is useful. Phone sessions can be easier when bandwidth is limited or when a client prefers not to use video. Live chat and text-based messaging provide quick check-ins, shorter touchpoints between sessions, and flexibility for busy schedules. Together these formats make it easier to fit therapy into a real-life routine.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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