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Mark Sikora

Mark Sikora

LICSW

Calm, practical guidance for life’s hard moments

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

Licenses listed

As listed on the therapist's profile. You can check a license with the state licensing board and an NPI in the national registry.

  • Mindfulness informed
  • Values-based work
  • Practical skills

About Mark

Mark Sikora is a licensed clinical social worker with long experience helping people who feel overwhelmed by depression, anxiety, panic, grief, or big life changes. He speaks plainly and focuses on practical steps that can make daily life easier. He encourages clients to use their own strengths while exploring new ways to respond to old patterns.

With four decades in practice, Mark draws on several approaches to tailor work to each person. He uses mindfulness to help people notice thoughts and feelings without getting swept away. He blends acceptance and commitment ideas and client-centered care to clarify values and set small, doable goals.

He has worked with people facing complex mood concerns including bipolar experience and symptoms that can feel psychotic, as well as those managing critical incidents. Mark also supports people dealing with trauma, addiction, relationship strain, caregiver stress, and grief. He pays attention to how grief can shift and change over time.

Sessions aim to identify concrete steps a person can try between meetings. Conversations often include skills practice, values-based choices, and checking what actually helps in daily life. Mark emphasizes collaboration and plain talk rather than jargon.

People who choose him usually want steady, practical guidance and a therapist who listens closely. He asks questions, reflects what he hears, and helps set small goals so progress can be noticed week to week.

How these approaches translate to online work

Mark uses Mindfulness Therapy to help people notice thoughts and sensations without reacting immediately; this can reduce overwhelm and improve moment-to-moment choices. Acceptance and Commitment Therapy (ACT) is used to clarify what matters to someone and turn values into small, practical steps. Client-Centered Therapy gives space for the person to be heard and for the therapist to reflect back what matters most.

Choosing the best approach is part of the work. Mark treats that as a collaborative process where goals, personal preferences, and what actually helps guide decisions. He checks in regularly and adjusts methods based on what a person finds useful.

If you are considering online sessions, confirm the specific session formats before booking because the profile did not list them. Online work can make it easier to fit therapy into a busy schedule, allow shorter check-ins when needed, and reduce travel time. It can also let people practice mindfulness and behavioral experiments in the settings where they spend their day, then review what did or did not help with a licensed professional.

These summaries are based on the profile information listed on BetterHelp. Listing mindfulness as an approach does not mean a therapist holds a formal mindfulness training or certificate.

Frequently asked questions

What concerns can be addressed in sessions?

Sessions cover many issues listed by Mark including depression, anxiety, trauma and abuse, addiction, grief, relationship and intimacy concerns, stress, parenting strain, and career questions.

How would you describe his therapeutic style?

He uses a straightforward, collaborative style that blends mindfulness, acceptance and commitment ideas, and client-centered listening to set practical goals.

What is his background and experience?

Mark has about 40 years of professional experience working with mood disorders, critical incidents, and complex clinical presentations.

What credentials and region are listed?

He holds LICSW credentials and practices in Washington state.

Which languages are supported and can international clients be seen?

Sessions are offered in English and he is not accepting international clients.

What session formats are available?

The original profile did not specify session formats; please confirm current options before booking.

How are fees and billing handled?

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

What should I do to begin working with him?

Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Therapists on BetterHelp do not prescribe medication. A doctor can talk with you about medical options. If you are thinking about suicide, call or text 988; in an emergency, call 911.

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