Mark Sikora , LICSW

Mark Sikora is a Licensed Independent Clinical Social Worker (LICSW) practicing in Washington with 40 years of professional experience. He has supported people facing depression, anxiety, panic, bipolar and psychotic mental health conditions, and has experience with critical incident street management. He stresses the importance of recognizing the fluid nature of grieving and adapting care as needs change.

He believes each person is the expert of their own story and that individuals already possess strengths that can be called upon to address life’s challenges. Beginning therapy often takes courage, and he offers steady support as clients explore their concerns, clarify goals, and build practical strategies to move toward a more fulfilling life.

His practice emphasizes thoughtful listening, collaborative problem solving, and helping clients increase awareness of patterns that contribute to distress. Mark works with people through difficult transitions and complex emotional experiences, aiming to help them understand their reactions and develop skills for coping and growth.

Approaches That Inform Online Care

Acceptance and Commitment Therapy (ACT) helps people clarify what truly matters to them and learn skills to act in ways that align with their values, even when difficult thoughts or feelings are present. It can be useful for anxiety, depression, grief, and life transitions.

Client-Centered Therapy emphasizes an empathic, nonjudgmental relationship in which the therapist listens deeply and supports the client’s own capacity for growth. This approach can be especially helpful for those seeking understanding, validation, and a steady therapeutic presence.

Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thinking patterns and developing practical strategies to change thoughts and behaviors that contribute to distress. CBT is often applied for mood disorders, panic, and stress-related concerns.

Choosing the right approach is part of the therapeutic process. The therapist will collaborate with each person to determine which methods best fit their needs, goals, and preferences, adjusting the plan as progress unfolds. This collaborative exploration helps ensure treatment feels relevant and practical.

Online therapy offers flexibility through video calls, phone sessions, live chat, and text-based messaging, allowing clients to engage from different locations and schedules. These options can make it easier to maintain continuity of care, attend sessions during busy periods, and access support in ways that align with daily life.