About Nicole
Nicole Markealli greets people with a calm, straightforward approach. She is a licensed mental health counselor (LMHC) practicing in Washington with 14 years of professional experience. Nicole focuses on helping people manage stress, anxiety, low self-esteem, depression, relationship strain, and family conflict.
Nicole aims for practical conversations that fit each person's life. She listens first, then shapes a plan together that matches needs and goals. Sessions emphasize clear steps and small changes people can try between meetings.
Background and approach
Her style is respectful and empathic. She pays attention to what feels realistic for each person and adjusts as progress happens. Nicole values honesty and warmth in the room, and she encourages clients to take things at their own pace.
Nicole also helps people rebuild confidence and motivation when those things feel low. She talks through relationship patterns and family dynamics in a way that highlights what a person can control and change. The focus is on usable tools rather than long explanations.
Starting therapy can feel hard, and Nicole acknowledges that courage. She works with clients to set short-term goals and practical steps so progress feels visible. Over time the aim is clearer decision making, less overwhelm, and greater self-trust.
Approaches and online care that focus on everyday change
Nicole uses evidence-based therapeutic techniques that emphasize clear steps and practical skills. One common focus is helping people identify and change unhelpful thinking or behavior patterns that keep anxiety and low mood active. This involves learning small, doable strategies to test new behaviors and notice different outcomes. Another approach centers on improving relationship and family interactions by looking at communication patterns and trying concrete changes that reduce conflict and increase understanding.Finding the right approach is part of the work together. The therapist will discuss options and adapt methods based on a person’s goals, preferences, and what has or hasn’t worked before. That collaborative process helps ensure sessions stay relevant and focused on real-life progress.
Online formats include video calls, phone sessions, live chat, and text-based messaging to match different needs. Video is useful for deeper conversations and visual cues. Phone sessions can be easier when bandwidth or camera use is an issue. Live chat or text messaging can support quick check-ins, brief reflections, or ongoing encouragement between longer sessions. These options make it easier to fit therapy into work, school, or parenting schedules while keeping the focus on practical change.
Frequently asked questions
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Specialties and expertise
Top specialties
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also works with
- Experience
- 14 years
- Licensed
- Washington
- Languages
- English