01 · Who Nicole works with

Nicole works with stress, Anxiety, LGBT and relationship issues

Nicole lists 15 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.

Welcome! My name is Nicole Thomte, my pronouns are she/her or they/them, and I am a Licensed Marriage and Family Therapist, #3853 in Minnesota. My focus in my practice is to serve those individuals, couples, and families who live outside the confines of dominant society's expectations. I offer affirmative therapy for LGBTQIA+/kink/CNM/polyam/etc persons, using a largely solution-focused approach from an intersectional feminist lens. I know that these populations are underserved in current society, and my goal is for you to have the inclusive support you deserve to improve your life the way you want. I am also interested in sex-positive therapy and sex therapy, while still recognizing the validity of asexuality in its own spectrum.

My therapeutic style is non-directive, exploratory, accepting, and acknowledging the humor that often leavens the stress of life. You're the expert in your life, and I'm here to provide support and an outside perspective to help find patterns and connections that may not be visible to you in the midst of your troubles. What you bring to the session is what interests me, rather than relying on labeling and constraints of diagnoses.

Choosing to sit with people in a therapeutic connection as my third career path has been one of the longest and most complex decisions I have made in my life thus far. It has also been one of the most rewarding and transformative experiences I have ever encountered.

I worked at a behavioral health agency once I was approved for my state intern license in 2013. The population we served were most often persons who have the most difficulties: often already on disability or in the interminable waiting period after having applied, with multiple health troubles, and with the least access to needed resources.

Since before even starting my work as a state intern, I had begun attending supervision groups and co-facilitating survivor groups under the auspices of Gender Justice Nevada in November, 2012. Over the nearly six years until my hiatus in July, 2018, I learned from the bravery of survivors of sex/gender based violence, oppression, and discrimination, including sex/gender diverse young persons, the families and loved ones of sex/gender diverse persons, and sex workers, as I provided therapeutic group facilitation in addition to individual, couple, and family therapy, due to my drive to advocate for marginalized communities.

I am a compassionate, driven, tireless advocate for those who are forced into the margins of society, and I look forward to the gift of what you wish to share with me.

Nicole Thomte, on the BetterHelp listing · read 9 Oct 2026

03 · How Nicole works

The 6 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.

Solution-Focused Brief TherapySFBT

Starts from where you want to end up rather than from how you got here. Sessions look for the times the problem is already smaller and work out what is different about those, so the number of sessions tends to be short and the work concrete.

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

3 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.

• “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

LMFT

Licensed in

Minnesota

Licence

MN LMFT 3853

Licence number

3853

Licence expires

31 Dec 2026

NPI

1871834630

Years in practice

13

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 9 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.