Telehealth Counseling California and Oregon

Therapy for ambitious, creative adults navigating ADHD, anxiety, and big goals. I offer a structured, efficient, and evidence-based approach blending therapy and coaching. My style is calm, direct, and non-judgmental, with a sprinkle of humor.
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About

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Therapy for thoughtful, driven adults navigating ADHD, anxiety, perfectionism, and big goals. As a Licensed Clinical Social Worker (LCSW), I work with adults in California and Oregon who are capable and often hold themselves to high standards — yet feel overwhelmed, stuck, or stretched thin internally. Many of the people I work with are highly ambitious yet find themselves hindered by executive functioning challenges or by the persistent pressure to perform at a high level. Some identify as entrepreneurs or creatives; others simply feel ready for deeper growth-oriented work. Together we can be intentional in balancing structure and emotional depth. We will examine mindset, nervous system patterns, relational history, and internal narratives that shape how you move through the world. If you are motivated for meaningful change, not just symptom relief, you are in the right place.
Nicole Skeele
Licensed Clinical Social Worker

Services

  • ADD/ADHD
  • Anxiety
  • Coping Skills
  • Women's Issues
  • Work Stress
  • Spirituality and Religion
  • Self Esteem
  • School Issues
  • Relationship Issues
  • Perfectionism
  • Mindfulness
  • Life Transitions
  • Life Coaching
  • Family Conflict
  • Existential Crisis
  • Depression
  • College Mental Health
  • Communication Issues
  • Career Counseling
  • Burnout
  • Attachment Issues
  • Adoption

Approaches

  • Acceptance and Commitment (ACT)
  • Cognitive Behavioral Therapy (CBT)
  • Dialectical (DBT)
  • Solution Focused Brief (SFBT)
  • Christian Counseling
  • Coaching
  • Cognitive Processing Therapy (CPT)
  • Executive Function Coaching
  • Humanistic Therapy
  • Therapeutic Journaling
  • Rational Emotive Behavior (REBT)
  • Psychoanalytic Therapy
  • Psychodynamic Therapy
  • Positive Psychology
  • Mindfulness-Based Stress Reduction (MBSR)

Insurance Accepted

  • United Healthcare
  • Oxford
  • Aetna
  • UMR
  • Oscar
  • All Savers Insurance
  • Harvard Pilgrim
  • Meritain Health
  • Optum

Fees

  • Individual Session: $175
  • CSWA Supervision: $120 - $175

Testimonials

“The work we've been doing has changed how I see things.”

“Each week you are expanding my world.”

“The flexibility and the guidance has been so incredibly helpful.”

Location

Serving California and Oregon Remotely

A street map for office location at Portland, OR 97239-1479

Skeele Counseling

Portland, OR 97239-1479

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