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Mark Sikora

Mark Sikora

LICSW · Washington

Experienced clinician focused on practical change

Continue with Mark

Review online therapy options and next steps on BetterHelp.

  • Strengths based
  • Values focused
  • Skills oriented

About Mark

Mark Sikora, LICSW, offers calm, practical support for people facing major life stressors. He respects each person's story and focuses on strengths to help people move toward more satisfying days. He presents therapy as a collaborative process and aims to make the first step feel manageable.

With forty years of experience, he draws on a range of approaches to match what a person needs. Sessions commonly address depression, anxiety and panic, bipolar mood concerns, grief, and the ongoing fallout from trauma and critical events. He also works with problems tied to relationships, intimacy, addiction, sleep and eating, and stress from caregiving or illness.

In sessions he listens first and then offers tools people can use between meetings. Techniques include behavior-focused strategies, skills for managing strong emotions, and ways to clarify personal values and goals. Conversations are direct but respectful, aimed at small changes that add up over time.

Mark also pays attention to complicated loss and disruption, including adoption and foster care related concerns, abandonment, and blended family challenges. He helps people untangle patterns such as codependency, communication problems, and commitment fears so they can make practical shifts.

People can expect a steady, experience-based approach that blends acceptance, mindfulness, and problem-solving. He encourages realistic steps toward routine, better sleep, and clearer priorities. If you want straightforward support focused on what changes you can try, he can help you plan the next steps.

Approaches used in online work and what they do

Acceptance and Commitment Therapy, or ACT, helps people clarify what matters to them and take small action steps toward those values even when emotions are strong. It is useful for anxiety, depression, and coping with major life shifts.

Client-Centered Therapy focuses on listening and reflecting so people can better understand themselves. This approach supports people who need space to sort through grief, identity, and relationship questions.

Cognitive Behavioral Therapy, or CBT, teaches concrete strategies to change unhelpful thoughts and behaviors. It is often used for panic, mood swings, sleep and eating problems, and stress management.

Choosing the right approach is a shared process. The therapist will ask about goals, daily routines, and what has or has not helped before making recommendations. Together you can try approaches and adjust based on what feels useful and realistic.

Confirm current session options before booking so you know how sessions will be delivered. Online therapy can make it easier to fit meetings into busy schedules, shorten check-ins when needed, and reduce travel time. It also allows people to work on skills between sessions and keep continuity of care when life or location changes.

Areas of expertise

Primary focus

Relationship issuesFamily conflictsTrauma and abuseDepressionCoping with life changes

Also works with

Stress, AnxietyAddictionsLGBTGriefIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAvoidant personalityBlended family issuesCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceDrug and alcohol addictionEmptinessFamily problemsFatherhood issuesFirst responder issuesGender dysphoriaGuilt and shameHearing impairedHIV / AIDSHospice and end-of-life counselingImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-harmSexual assault and abuseSexual dysfunctionSocial anxiety and phobiaTraumatic brain injuryVisually impairedWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Gottman MethodMindfulness TherapyMotivational InterviewingSolution-Focused TherapyTrauma-Focused TherapyInternal Family Systems

Experience

40+ years

Credentials

Washington

Languages

English

Frequently asked questions

What concerns does Mark commonly address?

He works with depression, anxiety and panic, bipolar mood issues, trauma and grief. He also helps with relationship and intimacy problems, addictions, sleep and eating concerns, and caregiving stress.

How would you describe his therapeutic style?

His style is collaborative and practical. He listens first, then offers tools from several approaches that clients can try between sessions.

What is his background and experience?

He brings forty years of professional experience and a long history of working with critical incidents, mood disorders, and grief reactions.

What credentials and location information should I know?

He is a LICSW and practices in Washington state.

Which languages are supported for sessions?

Sessions are offered in English.

Does he work with international clients?

International clients are not currently accepted.

How are fees and payment handled?

Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.

What are the steps to begin working with him?

Use the Start Therapy button, complete a short matching questionnaire, and schedule based on therapist availability.

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Mark SikoraOnline therapy options on BetterHelp

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