Verna Tickle , LICSW

Verna Tickle is a Licensed Independent Clinical Social Worker (LICSW) in Washington with 20 years of experience supporting people through stress, anxiety, addictions, relationship strain, family concerns, and self-esteem struggles. She also focuses on issues like codependency, commitment and communication problems, control issues, divorce and separation, and womens issues. Verna brings a calm and practical presence to conversations and aims to help people feel steadier and more confident.

She approaches sessions as a partnership, treating each person as the expert on their own life. Verna listens closely, offers straightforward feedback, and helps clients identify steps they can try between sessions. Many people come for help untangling guilt, shame, isolation, or challenges with self-love and life purpose.

Verna uses evidence-based therapeutic techniques tailored to each persons situation. Common tools she draws on include cognitive-behavioral strategies, mindfulness practices, and solution-focused approaches. These methods are used to build coping skills, manage difficult thoughts and feelings, and set realistic goals.

Her work also addresses addictions and substance use concerns, including drug and alcohol issues, with a focus on practical strategies and steady support. Communication skills and boundary-setting often appear in sessions when relationship or codependency patterns are present.

People describe her manner as down-to-earth and nonjudgmental. Verna helps clients clarify what matters most and then supports them in taking small, doable steps toward those priorities.

Evidence-Based Approaches and Flexible Online Care

Verna commonly uses cognitive-behavioral strategies to help people notice and change unhelpful thought and behavior patterns. This approach is useful for anxiety, stress, and social phobia because it focuses on practical steps and experiments to alter daily habits and reactions.

She also incorporates mindfulness techniques that teach attention skills and grounding practices to reduce reactivity and increase present-moment awareness. These practices often help with rumination, shame, and feelings of isolation.

Finding the right combination of approaches is part of the work together. Verna collaborates with each person to choose methods that fit their goals, preferences, and pace, adjusting as needs change.

Online therapy offers practical flexibility. Video calls allow for face-to-face conversation when a deeper connection is wanted. Phone sessions can be easier when bandwidth is limited or a shorter check-in is needed. Live chat and text-based messaging make it possible to share thoughts between sessions or check in on smaller challenges without scheduling a full call. These options help people fit therapy into busy days and different lifestyles.