About Nikki
Nikki Lewis-Clark helps people who are feeling overwhelmed by stress, anxiety, grief, or tough relationship and parenting problems. She writes clear, direct guidance and listens carefully so people can start making small, steady changes. Nikki uses plain language and practical steps that families and individuals can use right away.
She has 24 years of clinical experience and holds the credential MT LCPC, which means she practices as a licensed clinical professional counselor in Montana.
Background and approach
Early in her career she worked on family reunification after child neglect and abuse, which shaped her focus on safety, repair, and realistic plans for change. More recently she did work as a Diversity and Inclusion Counselor with service members and their families. Nikki’s style is warm and interactive.
She builds rapport first, then moves to direct conversation and concrete skills. Sessions often mix talk with exercises drawn from cognitive behavioral and mindfulness ideas to help people manage mood, sleep, eating, anger, and addictive patterns. She also draws on attachment-based and emotionally focused ideas when relationship patterns and intimacy issues are central.
That helps people understand repeating patterns and practice different ways of connecting. Nikki tailors the plan to the person’s needs and keeps goals practical and measurable. Nikki works with a wide range of concerns including depression, bipolar symptoms, ADHD, compassion fatigue, caregiving stress, career transitions, and body image struggles.
She accepts international clients and conducts sessions in English.
Therapeutic approaches and online care
Attachment-based work focuses on how early relationship patterns shape current reactions. It helps people recognize repeating interaction habits and practice new ways of connecting when intimacy or attachment worries come up. Client-centered therapy emphasizes a respectful, nonjudgmental conversation where the person sets the pace and goals; this approach is useful for building trust and finding what matters most to the client. Cognitive Behavioral Therapy (CBT) offers clear, practical tools for changing unhelpful thoughts and behaviors, and it often helps with anxiety, depression, sleep, eating, and anger issues.Choosing the right approach is a collaborative process. The therapist will talk with the client about goals, preferences, and what has or hasn't worked before. Together they will try methods that match the issue at hand and adjust the plan as things evolve.
Online therapy options include video calls, phone sessions, live chat, and text-based messaging. Video sessions allow face-to-face work and use exercises that fit a standard therapy hour. Phone sessions can be easier when bandwidth is limited or a quieter check-in is needed. Live chat and messaging support brief check-ins, skill reminders, or ongoing coaching between longer sessions. These formats make it easier to fit therapy into work, caregiving, or travel schedules while keeping the focus on practical skill building and problem solving.
Questions people ask
What kinds of problems can be addressed in sessions?
What is the therapeutic style like?
How long has she worked as a therapist?
What license does she hold and where is she based?
Are sessions available in other languages or internationally?
Which session formats are offered?
How are sessions priced?
How do I begin working with her?
What this counselor 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