Mark Sikora, LICSW

Mark Sikora, LICSW, brings decades of experience to people facing depression, anxiety, stress, trauma, and life transitions. He speaks directly and compassionately, helping clients notice their strengths and figure out practical next steps. He aims to make the first steps less overwhelming and to support people as they build a more fulfilling life.

He uses straightforward talk and evidence-informed strategies in sessions. Cognitive Behavioral Therapy (CBT) is a regular part of his work, helping people spot unhelpful thinking and try different behaviors. He also draws on Acceptance and Commitment Therapy to help people clarify values and take committed action.

His background spans many settings over 40 years in Washington. That long experience includes work with mood disorders, anxiety and panic, bipolar concerns, grief, and trauma. He has also supported people dealing with caregiving strain, chronic illness, and life changes from adoption or loss.

Sessions focus on clear goals and skills people can use outside the room. People can expect practical tools for managing sleep, anger, cravings, or intense emotions alongside reflective conversation about relationships and identity. The approach is collaborative - the client’s priorities guide the work.

Mark offers flexible formats, including video calls, phone sessions, live chat, and text messaging. He works in English and practices in Washington as a LICSW. To begin, people complete a short matching questionnaire and schedule a session that fits their needs.

Approaches that guide online sessions

Mark commonly uses Cognitive Behavioral Therapy to help people identify patterns of thinking that keep problems going and to test new behaviors in daily life. CBT is practical and works well for anxiety, depression, sleep issues, and many stress-related problems.

He also incorporates Acceptance and Commitment Therapy, which focuses on clarifying what matters to a person and taking actions that align with those values despite difficult feelings. ACT can be useful for grief, chronic pain, avoidance, and ongoing life changes.

Finding the right approach is part of the work together. The therapist will listen to your goals and try methods that match your needs and preferences. If something isn’t working, the plan is adjusted collaboratively to find a better fit.

Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets you use visual cues and longer conversations, phone can be useful when bandwidth is limited, quick text check-ins fit tight schedules, and live chat can work for shorter focused conversations. These options make it easier to fit sessions into work, caregiving, or health-related routines while keeping continuity of care.