Nicole Garza, LCSW

Nicole Garza is a Licensed Clinical Social Worker who focuses on helping people manage stress, anxiety, addiction, and relationship concerns. She approaches sessions with patience and plain language so clients can talk about what matters most. Nicole aims to build a trusting connection that makes it easier to set goals and try new ways of coping.

She draws on 13 years of clinical experience in a variety of settings. That background includes supporting people after trauma, helping with depression and bipolar symptoms, and addressing grief, caregiver strain, and compassion fatigue. Nicole also works with people navigating identity and intimacy issues, including LGBT and gender dysphoria concerns.

Her work blends practical skill-building with attention to attachment and relationship patterns. She commonly uses cognitive behavioral techniques to identify unhelpful thoughts and create clearer action steps. She also uses acceptance and commitment ideas to help people choose values-based actions when feelings feel overwhelming.

Nicole values collaboration. She invites clients to set measurable goals and checks in on progress as therapy continues. Sessions are aimed at everyday changes you can use between appointments, not just talk during them.

Clients meet with her for issues such as anger, sleep problems, parenting stress, substance use, and career-related strain. She is licensed in North Carolina as an LCSW and offers work that combines insight about family and attachment with hands-on coping tools.

Approach and online therapy options

Nicole commonly uses Cognitive Behavioral Therapy, which helps identify unhelpful thought patterns and replace them with more workable ways of thinking and acting. CBT is useful for anxiety, depression, sleep problems, and many day-to-day worries.

She also uses Acceptance and Commitment Therapy to help people clarify values and take purposeful steps even when emotions are difficult. ACT supports coping with grief, chronic stress, and situations where avoidance has become a problem. Attachment-Based Therapy is part of her work too and focuses on how early and current relationship patterns affect trust, intimacy, and conflicts.

Choosing the right approach is collaborative. The therapist will talk with the client about needs, goals, and preferences and may combine methods to fit the situation. That process usually starts with clear goals and regular check-ins to see what is helping.

Online sessions are offered by video calls, phone, live chat, or text-based messaging to make therapy more flexible. Video sessions let you work face to face from a convenient location. Phone sessions can be easier when bandwidth is limited or when you prefer not to be on camera. Live chat and text messaging can support shorter check-ins, quick coping tools, or ongoing notes between longer sessions. These options make it simpler to keep therapy consistent around work, caregiving, or travel.