Mark Sikora, LICSW

Mark Sikora, LICSW, focuses on helping people who are feeling overwhelmed by stress, anxiety, depression, grief, or major life changes. He frames therapy as a collaborative effort and treats clients as experts in their own stories. He emphasizes practical steps that build on each person’s strengths and capacity for change.

With four decades of professional work experience, Mark brings long-term practice to sessions while keeping the therapy straightforward. He pays attention to how grief shifts over time and to the ways mood and anxiety symptoms can affect day-to-day functioning. He also works with concerns such as addiction, intimacy issues, sleep and eating problems, and ADHD-related struggles.

Mark uses several approaches to help people rethink thoughts and habits and to find manageable ways forward. He draws from Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behavior Therapy, client-centered techniques, and the Gottman Method when relationship issues are in focus. He aims to teach skills that people can use between sessions.

Sessions are oriented toward concrete problem solving and skill building. Expect a mix of talking through concerns, practicing new behavior patterns, and setting small, achievable goals. The style is steady and practical, with attention to emotions and to what works in daily life.

Mark is licensed in Washington as a LICSW and practices in English. He encourages people to take the first step when they feel ready and supports them through the process of change.

How Mark’s approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them, and then commit to actions that reflect their values. It can be useful for anxiety, depression, and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on identifying thought patterns and testing them with concrete behavioral experiments, which helps with anxiety, mood, and everyday habits. The Gottman Method brings structured tools for improving communication and managing conflict when relationship issues are a concern.

Finding the right approach is part of the therapy process. The therapist will work together with each person to decide which methods fit their goals and preferences. That collaborative process often starts by discussing what feels most urgent and what skills the person wants to build.

For practical reasons, online therapy can make it easier to fit sessions into a busy week. It may reduce travel time, allow shorter check-ins when needed, or make it simpler to schedule around work or caregiving. Confirm the session options before booking so you know which formats are offered. Many people find that working on thoughts and everyday habits translates well to remote sessions because the work centers on practicing skills and planning concrete steps between meetings.