Practitioner record · Checked 7 Oct 2026
Nicole Lilly has been in practice 23 years and is licensed in Virginia. Nicole lists stress, Anxiety, trauma and abuse and self esteem among 19 subjects on the BetterHelp roster.
Everything below is either quoted from Nicole's own BetterHelp listing, taken from public licensing records, or written by Maker Therapy and labelled as such. Nothing here is an availability promise, a review, or a rating.
01 · Who Nicole works with
Nicole lists 13 specialisms and 6 further focus areas. Specialisms are the subjects Nicole chose to list first, which is the closest a listing gets to “this is my actual practice”.
02 · In Nicole's own words
Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.
Most recently, I have enjoyed helping women with chronic post traumatic stress as a result of experiencing ongoing and significant life stressors. Often these women have experienced domestic violence or have grown up in families affected by chronic drug or alcohol use and/or untreated or severe mental health difficulties. Many of them have a lot of responsibilities and a limited support system. I am licensed in Virginia with over 20 years of professional work experience in various settings. I have worked with adults, teens and children in crisis and hospital settings, as well as in outpatient therapy settings, I have experience in helping people with various life stressors and mental health conditions. I believe that you are the expert of your story and that you have many strengths that will assist you in overcoming things that challenge you. It takes courage to seek out a more fulfilling and happier life and to take the first steps towards a change. I am here to support & empower you in that journey.
Nicole Lilly, on the BetterHelp listing · read 7 Oct 2026
03 · How Nicole works
These are the clinical methods Nicole lists. The descriptions are Maker Therapy's, not Nicole's - a general explanation of what each method is, so the list means something before you have spoken to anybody. They are not a claim about how Nicole runs a session.
04 · What happens next
Nicole practises through BetterHelp, so the route in is BetterHelp's. This is that sequence, written by Maker Therapy from the platform's published process - not a description of Nicole's own practice, and not a promise about how quickly anything happens.
BetterHelp opens with a set of questions about what you are dealing with, what you want from therapy, and any preferences on the therapist. You are not booking Nicole at this point.
BetterHelp matches algorithmically by default, so asking for Nicole is a step you have to take. There is a field for requesting a specific therapist during sign-up, and you can switch afterwards from your account. Starting from a link on this page does not by itself assign you to Nicole.
You will be offered somebody else rather than put on a waitlist. Worth knowing, because it is easy to assume a match is the person you asked for.
A first session is typically history and orientation: what brought you, what has been tried, what you want to be different. It is also where the questions in the next section belong.
Changing therapist on BetterHelp does not need a reason. A first session that does not click is common and is not a verdict on therapy. That option existing is the main practical difference between a platform and a private practice.
05 · Before you commit
Built from what Nicole actually lists, so they are answerable and specific rather than generic. Maker Therapy's, not Nicole's - Nicole has not seen them and is under no obligation to answer any of them.
“How do you decide when someone is ready to work on a traumatic memory itself?”
Pacing is the biggest safety question in trauma work. A clear, unhurried answer here matters more than any credential.
“With 23 years in, what has changed most in how you work?”
Long experience is only an advantage if it has been examined. This tends to surface whether it has.
“How do you handle the gap between sessions if something comes up?”
On BetterHelp this varies a great deal by therapist. Better to know the rhythm now than to discover it on a bad week.
06 · Practical details
07 · Provenance
Nicole's name, credential, state, subjects, approaches and biography are read from BetterHelp's therapist roster, which Maker Therapy re-reads once a day; this page reflects the reading taken on 7 Oct 2026. The licence number and NPI are cross-checked against public registers.
The plain-English method descriptions, the first-session walkthrough and the questions are written by Maker Therapy and labelled as such wherever they appear.
Maker Therapy is not BetterHelp, does not take bookings, and has not met Nicole. There are no reviews or ratings on this page because we have no way to verify one. If you start therapy through a link here, we may be paid a commission - it does not change your price and it does not affect who appears here or in what order.
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