PuttingFamilyFirst

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NM Portrait of Nicole Markealli
Online therapist

Nicole Markealli

Practical, compassionate support for families

Credentials
LMHC
Experience
14 years
Licensed in
Washington
Languages
English
Format
Online sessions

About Nicole

Nicole Markealli is a licensed mental health counselor in Washington with 14 years of experience. She focuses on stress, anxiety, relationship concerns, family issues, self-esteem, and depression. Nicole aims to create a respectful and compassionate space where parents and caregivers can talk through their worries and practical challenges.

She adapts conversations and plans to fit each person's situation. Sessions are shaped to meet the family's needs rather than following a one-size-fits-all script.

Background and approach

This means working together to identify small, practical steps that feel doable at home. Nicole uses evidence-based therapeutic techniques to guide her work. She helps people build skills to manage worry, improve communication, and regain motivation.

The goal is steady progress through short, focused conversations and concrete practice between sessions. Her style is straightforward and supportive. She treats people with sensitivity and respects differing family roles and routines.

Nicole encourages parents to try new approaches while keeping what already works for their household. Taking the first step can feel hard, and Nicole acknowledges that courage. If a parent wants to improve day-to-day functioning, reduce tension at home, or strengthen relationships, she offers practical guidance and steady support to move forward.

Therapeutic techniques and online sessions for family needs

Nicole commonly uses evidence-based techniques that teach clear skills and habits. One approach focuses on building coping skills for anxiety and stress, teaching practical ways to reduce worry and manage daily pressure. Another approach emphasizes improving communication and problem-solving within relationships and families, helping people say what they need and listen to others more effectively.

Choosing the right approach is part of the work together. Nicole will collaborate with each client to decide which techniques best match their goals and home situation. That joint decision considers what feels doable, what problems are most pressing, and what the family hopes to change.

Online therapy here includes video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit sessions into busy family schedules and to keep momentum between meetings. The variety of formats lets parents pick what works best for them and their routines, while still receiving guided support from a licensed professional.

Frequently asked questions

What kinds of concerns does Nicole address?
She works with stress, anxiety, relationship issues, family conflicts, self-esteem, and depression.
How would Nicole describe her therapy style?
Her approach is practical and supportive, focusing on skills and small changes that fit family life.
What is her professional experience?
Nicole has 14 years of professional work experience in the mental health field.
What credentials and location should I know about?
She is a Licensed Mental Health Counselor - LMHC - licensed in Washington with license number WA LMHC LH60323842.
Which languages are available for sessions?
Sessions are offered in English.
What session formats does she offer?
Therapy is available by video calls, phone sessions, live chat, or text-based messaging.
How does cost and billing work?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I get started with therapy?
Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Specialties and expertise

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Experience
14 years
Licensed
Washington
Languages
English

Next step

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