Nicole Deisher, LCSW, LISW

Nicole Deisher is an Ohio-based licensed social worker who helps people facing stress, anxiety, relationship struggles, trauma and abuse, and low self-esteem. She uses straightforward, practical methods to help people make small changes that add up. Nicole encourages clients to notice strengths they already have and to build on them step by step.

She draws on 11 years of professional experience as a licensed clinical social worker and a licensed independent social worker. Nicole favors approaches that focus on thoughts, behaviors, and skills practice. In sessions she will often use cognitive-behavioral techniques to identify unhelpful thinking patterns and replace them with more workable options.

Nicole also incorporates elements of dialectical behavior therapy and mindfulness to help people manage strong emotions and stay present when stress feels overwhelming. Motivational interviewing and solution-focused work are used to set realistic goals and find workable next steps. Sessions are practical and paced to each person’s needs.

Her background includes helping people cope with addiction, grief, parenting strain, sleeping problems, anger, bipolar mood concerns, ADHD, and issues tied to family of origin or attachment. Nicole values a collaborative approach that centers the client’s goals and lived experience.

Nicole offers phone calls, video sessions, live chat, and text-based messaging to fit different schedules and communication styles. She works in English and is licensed in Ohio.

How CBT, DBT, and Mindfulness work online

Nicole commonly uses cognitive-behavioral therapy to help people spot unhelpful thoughts and test new ways of thinking and acting. CBT focuses on practical steps such as tracking thought patterns and trying small behavioral experiments to reduce anxiety or improve mood.

She also brings in dialectical behavior therapy skills for emotion regulation and interpersonal effectiveness. DBT skills teach breathing, grounding, and communication tools that can reduce impulsive reactions and improve relationships. Mindfulness practice is used to build attention and reduce reactivity by teaching simple, moment-to-moment awareness exercises.

Choosing the best approach is a collaborative process. The therapist will talk with the client about goals, preferences, and what has or hasn’t worked before, then tailor a plan that might mix CBT, DBT, and mindfulness exercises. Progress is reviewed regularly and plans are adjusted based on what the client reports.

Online sessions are offered by phone or video and also through live chat or text-based messaging, making it possible to fit therapy into work breaks or busy days. Phone can be useful when bandwidth is limited or when an audio-only check-in is enough. Live chat and messaging allow shorter, more frequent check-ins and can help maintain momentum between longer sessions. These formats aim to make evidence-informed approaches easier to use in everyday life.