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Nicole Garza

Nicole Garza, LCSW

North Carolina

LCSW - Anxiety and family origin concerns

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  • Anxiety and depression
  • Family of origin issues
  • Addiction support

About Nicole

Nicole Garza is an LCSW - Licensed Clinical Social Worker practicing in North Carolina with 13 years of experience. She works with adults facing stress, anxiety, addiction, depression, grief, relationship and intimacy concerns, and issues tied to gender and sexual identity. She also addresses family of origin issues when those early patterns still affect current life.

Nicole draws on practical, evidence-informed methods to help people manage symptoms and make clearer choices. She uses cognitive behavioral techniques to identify unhelpful thoughts and behaviors. Dialectical behavior strategies are used when emotion regulation and distress tolerance skills are needed.

Attachment-based ideas are part of her approach when patterns from childhood affect current relationships. Client-centered work is also present, meaning sessions focus on what matters to the person in front of her. Acceptance and Commitment Therapy (ACT) tools are used to clarify values and build committed action toward those values.

Nicole served in the Army and has provided care across several states, which has shaped how she talks about transitions, loss, and caregiver stress. She notes experience with domestic violence, substance misuse, and co-occurring conditions, and brings that background into assessment and treatment planning.

In session she focuses on building trust and clear goals. Early meetings usually clarify priorities, identify small steps, and set ways to measure progress. People seeking help are guided toward practical skills and steady changes rather than quick fixes.

How therapeutic approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people clarify their values and take practical steps toward them while accepting difficult thoughts and feelings. It is useful when someone wants clearer direction and ways to act on what matters despite anxiety or self-doubt. Attachment-Based Therapy looks at how early relationship patterns influence current connections and sense of self. It can help when recurring relationship patterns or family of origin issues keep showing up in adult life and choices.

Finding the right approach is part of the work. The therapist will talk with the client about goals, trial different methods, and settle on what fits best. That process is collaborative and may include mixing strategies from ACT, CBT, DBT, or attachment-informed techniques based on what helps most.

The original biography does not list specific online session formats, so confirm current options before booking. Online sessions can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and avoid travel time. They also let people work from familiar surroundings and use tools such as guided exercises, worksheets, and in-session skills practice to reinforce learning between appointments.

Areas of expertise

Also works with

LGBTFamily conflictsGriefIntimacy-related issuesSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderDepressionCompassion fatigue

Additional focus areas

AbandonmentAttachment issuesBody imageCaregiver issues and stressCo-morbidityControl issuesDomestic violenceDrug and alcohol addictionFamily of origin issuesFamily problemsFirst responder issuesGender dysphoriaGuilt and shameInfidelityIsolation / lonelinessLife purposeVeteran and Armed Forces IssuesMoney and financial issuesObsessions, compulsions, and OCDPanic disorder and panic attacksPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSocial anxiety and phobiaSomatizationWomen's issuesWorkplace issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Motivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapyTrauma-Focused Therapy

Experience

13+ years

Listed in

North Carolina

Languages

English

Frequently asked questions

What kinds of problems does she help with?

She works with adults on stress, anxiety, addiction, depression, grief, intimacy and relationship concerns, and family of origin issues.

What is her therapy style like?

She combines client-centered conversation with practical skills work from CBT and DBT, and uses ACT and attachment ideas when those fit the goals.

How much clinical experience does she have?

She brings 13 years of clinical experience to her practice, including work across different states and settings.

What are her credentials and where is she based?

She is an LCSW - Licensed Clinical Social Worker licensed in North Carolina.

Does she offer sessions in other languages or to international clients?

Sessions are offered in English and she does accept international clients.

Which session formats are available?

The original biography does not list specific session formats; please confirm current session options before booking.

How does cost work for sessions?

Cost varies with location and sessions use a subscription that can be canceled at any time.

What are the first steps to begin working together?

Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.

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Nicole GarzaLCSW

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