01 · Who Nicole works with

Nicole works with stress, Anxiety, addictions and trauma and abuse

Nicole lists 19 specialisms and 12 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

What Nicole says about the work

Reproduced in full and unedited - not summarised, not tightened, not rewritten in a house voice.

I am a clinical counselor, specializing in trauma and addiction. I have 25 years of experience working with clients struggling with depression, anxiety, relationship problems, verbal/emotional/physical/sexual abuse, and psychotic disorders.

My approach mirrors that of Thomas Szasz, MD, as he wrote in The Healing Word: Its Past, Present, and Future: "Mental illness and psychotherapy are fictions. Neither exists. Only the patient, the therapist, and a particular relationship between them exist. Both participants are responsible moral agents. Each is existentially equal to the other, each influences the other, and each is responsible for his or her behavior. The therapist can neither cure the patient not make him or her sick. However, the patient can do both of these things -- for or to himself or herself-- by making use of the therapist's helping or harming words (Bohart & Talman, 1996)." ... The expert's role is to engage the clients in a process of searching self-examination, with the aim of enabling them, if they so choose, to become more free and more responsible.

Nicole Neal, on the BetterHelp listing · read 7 Oct 2026

03 · How Nicole works

The 5 approaches Nicole lists, in plain English

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.

Client-Centred TherapyPerson-centred · Rogerian

The therapist does not steer toward a technique or a diagnosis. They offer sustained, non-judgemental attention and reflect back what they hear, on the premise that people find their own direction when they are genuinely listened to. Often what people mean by “someone who just gets it”.

Cognitive Behavioural TherapyCBT

Structured, present-focused work on the loop between what you think, how you feel and what you then do. Usually means noticing a thought pattern in the room, testing it against evidence, and practising something different between sessions. Among the most heavily researched talking therapies for depression and anxiety.

Dialectical Behaviour TherapyDBT

A structured skills-led adaptation of CBT built around holding two things at once: accepting yourself as you are and working to change. Teaches concrete skills for distress tolerance, emotion regulation and relationships. Developed for people whose feelings arrive at overwhelming intensity, and strongest-evidenced there.

Motivational InterviewingMI

A way of talking about change with somebody who is genuinely in two minds about it. The therapist does not argue for the change; they help you say your own reasons out loud, which is the part that predicts whether it happens. Common around substance use and health behaviour.

Trauma-Focused TherapyTF-CBT · trauma-informed

CBT adapted for people whose difficulty is rooted in a frightening or overwhelming event. Pacing is the point: safety and stabilisation come first, the memory itself is approached gradually and only when you are ready, and the aim is that recalling it stops hijacking the present.

04 · What happens next

From this page to a first session

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.

1. A questionnaire, not a booking form

   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.

2. Naming Nicole specifically

   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.

3. If the caseload is full

   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.

4. The first conversation

   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.

5. If the fit is wrong

   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

4 questions worth asking Nicole

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.

• “You list both Cognitive Behavioural Therapy and Client-Centred Therapy. Which do you lean on with someone like me?”

  Those two point in different directions - one structured and led by the therapist, the other led by you. The answer tells you what the sessions will actually feel like.

• “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 24 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

Credentials and licensing

Credential

LPCC

Licensed in

New Mexico

Licence

NM LPCC CCMH0085381

Licence number

CCMH0085381

Licence expires

30 Sep 2028

NPI

1588947113

Years in practice

24

Gender

Female

Languages

English

International clients

Not accepted

Listed since

15 May 2026

07 · Provenance

Where every line on this page came from

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.

Something on this page wrong or out of date? Report it and it will be checked against the source.