Nacole Holmes, MSW, LICSW, Therapist in Vancouver, Washington

Nacole Holmes, Licensed Clinical Social Worker, helps teens, adults, and older adults throughout Washington navigate life’s challenges with compassion, insight, and evidence-based care. At LifeStance Health, she provides individual therapy for those seeking support with anxiety, depression, and trauma, as well as many other mental health concerns. Nacole believes that meaningful healing begins with feeling understood, and she works collaboratively with each client to create a therapeutic experience that is supportive, respectful, and tailored to their unique goals. A particular passion of Nacole’s is supporting individuals through perinatal mental health concerns and providing sex-positive, non-shaming therapy. She understands the emotional complexities that can accompany pregnancy, postpartum experiences, reproductive challenges, identity exploration, and intimate relationships. Her approach creates a safe, affirming space where clients can discuss sensitive topics openly while building confidence, self-compassion, and emotional wellness. Nacole draws from Cognitive Behavioral Therapy (CBT), Dialectical Behavior Therapy (DBT), and Mindfulness-based techniques to help clients develop practical coping strategies, strengthen emotional regulation, and foster lasting change. She has experience working with members of the LGBTQ+ community, first responders, and other diverse populations. In addition to her primary areas of focus, she offers support for a variety of mental health and life-transition concerns. Since beginning her clinical practice in 2014, Nacole has been dedicated to helping individuals overcome obstacles, process difficult experiences, and build more fulfilling lives. Her therapeutic style balances clinical expertise with warmth, authenticity, and genuine curiosity about each person’s story. Outside of her professional work, Nacole enjoys spending time with her three children, snuggling her cats, watching her chickens, gardening, and caring for her plants. She also enjoys paper crafting, which reflects her appreciation for creativity and mindfulness in everyday life.