About Mark

Mark Sikora is a Washington-based LICSW with four decades of clinical experience. He focuses on helping people navigate anxiety, depression, grief, relationship strain, and ADHD concerns. He approaches work in a direct, supportive way and aims to build on each person's strengths.

He believes people are the experts on their own stories. Sessions emphasize practical steps and clear goals rather than jargon. He offers steady support while helping people notice patterns that get in the way of daily functioning and relationships.

Background and approach

Mark uses a mix of methods suited to the issue at hand. He draws on Cognitive Behavioral Therapy to identify unhelpful thoughts and behaviors. He uses Acceptance and Commitment Therapy to help people clarify values and take values-based actions.

He also includes client-centered techniques to keep sessions focused on the person’s perspective. For relationship concerns he incorporates ideas from the Gottman Method that aim to improve communication and connection. Across issues such as trauma, addiction, bipolar disorder, sleep and eating problems, or coping after loss, he emphasizes practical skills and steady progress.

He helps people develop coping tools for stress, work through anger or parenting strains, and manage career and life transitions. Mark brings 40 years of practice in Washington and offers a calm, experienced presence. He supports people who want straight talk, clear strategies, and collaborative planning to move toward better day-to-day functioning.

Approaches that translate well to online care

Acceptance and Commitment Therapy helps people clarify what matters to them and commit to actions that align with those values. It focuses on building willingness to experience difficult thoughts and feelings while moving toward meaningful goals, and it can be useful for anxiety, depression, and life transitions.

Cognitive Behavioral Therapy looks at the links between thoughts, feelings, and behaviors to create concrete changes. It offers practical techniques for managing anxiety, mood problems, sleep difficulties, and attention-related challenges like ADHD.

Finding the best therapeutic approach is part of the work. The therapist will collaborate with each person to choose methods that match their goals and preferences. That means trying strategies, checking what helps, and adjusting the plan together as needs shift.

Online formats make it easier to fit therapy into real life. Video calls allow face-to-face conversation when visual cues matter. Phone sessions can be helpful when bandwidth is low or when someone prefers not to be on camera. Live chat and text messaging support brief check-ins, skill coaching between sessions, or a written way to process thoughts. These options increase flexibility and help people stay consistent with the work.

Questions people ask

What concerns does Mark commonly address?
He works with a wide range of issues including anxiety, depression, grief, relationship and intimacy concerns, ADHD, addictions, and stress related to life changes.
What is his general approach in sessions?
Sessions are practical and person-focused, combining goal setting, skill building, and reflective conversation to help clients change patterns and manage symptoms.
How much experience does he have?
Mark has 40 years of professional experience working with diverse clinical concerns and complex presentations.
What credentials and region are listed?
He holds the LICSW credential and practices in Washington state.
Which languages are supported and can international clients join?
Sessions are offered in English. International clients are not currently accepted.
What formats are available for sessions?
Mark provides video calls, phone sessions, live chat, and text-based messaging to fit different schedules and needs.
How does pricing work for sessions?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What are the steps to begin working together?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and schedule a session based on the therapist's availability.

What this therapist works with

Most often

Experience
40 years
Licensed
Washington
Languages
English

We will earn a commission if you sign up through our link, at no cost to you.