About Nikki
Nikki Lewis-Clark is a Licensed Clinical Professional Counselor (LCPC) based in Montana with 24 years of experience. She offers a calm, direct presence and helps people sort out stress, anxiety, depression, relationship concerns, parenting challenges, ADHD, grief, and other life changes. Her manner is warm and straightforward, with a focus on practical steps people can use day to day.
Early in her career she worked on family reunification when children had been removed for neglect or abuse.
Background and approach
That work shaped her attention to safety, boundaries, and practical problem solving. More recently she has provided counseling for service members and their families with a focus on diversity and inclusion. In sessions she builds rapport first, then moves to clear, goal-oriented work.
She blends client-centered listening with cognitive strategies and mindfulness skills to change unhelpful thoughts and habits. When needed she introduces emotion-focused tools and dialectical strategies to manage strong feelings and improve relationships. Clients can expect straightforward conversation and specific tools to try between sessions.
She tailors plans to each person’s situation rather than using a one-size-fits-all method. That can include coping skills for anxiety, sleep routines, or strategies to manage attention and daily organization. Her background includes work with trauma, family-of-origin issues, addictions, caregiving stress, body image and identity questions.
She also helps people navigate career stress, grief, and complicated relationship patterns. She speaks English and works with clients in Montana and internationally via online formats.
Therapeutic approaches and how they work online
Attachment-Based Therapy pays attention to how early relationships shape current patterns. It helps with trust, closeness, and understanding recurring relationship reactions by gently examining past and present interactions. Client-Centered Therapy emphasizes listening and empathy first. The therapist follows the person's lead, offering reflection and support while clients set the pace and goals for change. Cognitive Behavioral Therapy (CBT) focuses on the link between thoughts, feelings, and actions. It teaches concrete skills to challenge unhelpful thoughts, build routines, and change behaviors that maintain anxiety, low mood, or attention difficulties.Choosing the right approach is part of the work together. The therapist will talk with the client about goals, preferences, and what has or has not helped before. That collaborative process guides whether to emphasize emotion-focused work, skill-building, or a mix of methods tailored to the person.
Online therapy offers flexibility for people with busy lives or those far from Montana. Video calls let therapists observe facial cues and body language, while phone sessions can be easier when connection speeds vary. Live chat and text-based messaging support brief check-ins, coaching-style exchanges, or ongoing skill practice between longer sessions. These options help sessions fit into work breaks, caregiving schedules, or different time zones.
Questions people ask
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What this therapist works with
Most often
- Stress, Anxiety
- Relationship issues
- Family conflicts
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Avoidant personality
- BDSM, kink, and alternative sex culture
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Gender dysphoria
- Grief
- Guilt and shame
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sex addiction
- Sexual assault and abuse
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Veteran and Armed Forces Issues
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Experience
- 24 years
- Licensed
- Montana
- Languages
- English
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