Nicole Thomte, LMFT

Nicole Thomte is a Licensed Marriage and Family Therapist (LMFT) based in Minnesota with 13 years of clinical experience. She uses an affirming, sex-positive stance and attends carefully to identities often pushed to the margins. Nicole works to create an accepting space where people can bring what matters most to them.

Her sessions are collaborative and non-directive. She listens first, then helps clients notice patterns and connections that are hard to see when life feels chaotic. Humor and straightforward conversation often appear alongside deeper emotional work.

Nicole draws on a mix of practical approaches, including cognitive behavioral techniques and solution-focused strategies, to help with day-to-day problems. She also uses client-centered methods and DBT skills when emotion regulation or relationship struggles get in the way of goals.

She has experience supporting people with anxiety, depression, trauma and abuse, grief, bipolar mood concerns, ADHD, and stress related to work and caregiving. Nicole also focuses on relationship and intimacy issues, sexuality, gender dysphoria, kink and alternative sexual cultures, and multicultural and discrimination-related concerns.

Her background includes community-based behavioral health work and years of group facilitation with survivors of gender-based violence. That history informs a practical, advocacy-minded approach that values each person's self-knowledge. Nicole seeks to help people improve their life in ways that fit their values and circumstances.

Practical approaches for remote therapy and symptom work

Nicole integrates Cognitive Behavioral Therapy (CBT) and Client-Centered Therapy in online work. CBT focuses on identifying unhelpful thinking and behavior patterns and practicing concrete experiments to change them, which helps with anxiety, panic, phobias, depression, and mood regulation. Client-Centered Therapy emphasizes active listening, acceptance, and reflecting what matters to the person, creating space for exploration around identity, relationships, and sexuality.

Nicole also uses Dialectical Behavior Therapy (DBT) skills when emotion regulation, distress tolerance, or interpersonal conflicts are a central concern. DBT teaches practical skills for managing strong emotions, reducing impulsive reactions, and improving communication in relationships. She and the client decide together which approach or mix of techniques fits best based on goals and day-to-day needs.

Online formats include video calls, phone sessions, live chat, and text-based messaging to provide flexibility. Video sessions allow face-to-face conversation for deeper work, phone calls can be easier when bandwidth is limited, live chat is useful for brief check-ins or processing between sessions, and messaging supports ongoing reflection and shorter updates. These options help fit therapy into work, caregiving, or busy schedules while keeping the focus on practical progress.