Rell Spickerman, LMSW

Rell Spickerman is a Licensed Master Social Worker (LMSW) with four decades of experience in counseling and pastoral care. He blends his background as a parish pastor and hospice chaplain with long experience in mental health work. He writes plainly and listens without judgment. He aims to guide people toward practical steps that fit their lives.

Spickerman has supported many people through grief and end-of-life challenges while working as a hospice chaplain. He also brings experience in divorce mediation and parenting decisions from his mediation work. That background informs his approach to relationship, family, and blended family concerns.

He uses several therapy approaches, including cognitive behavioral work, Acceptance and Commitment Therapy, narrative methods, and solution-focused techniques. Sessions often focus on doable changes, shifting unhelpful thoughts, and telling stronger personal stories. He also draws on rational emotive ideas, anger management strategies, and career planning skills when relevant.

Spickerman has a long personal interest in LGBT issues, influenced by a family member's transition, and he offers support around gender dysphoria and related concerns. He is comfortable addressing intimacy, addictions, anxiety, depression, and aging and geriatric issues among other topics. Humor and steady encouragement are part of his style.

Clients can expect a straightforward, compassionate listener who favors practical planning over lectures. He encourages risk-taking toward growth and helps people map small, achievable steps that move their lives forward.

Therapeutic approaches and how they work online

Acceptance and Commitment Therapy (ACT) focuses on clarifying values and taking committed action. It helps people move toward a life they value even when difficult thoughts or feelings show up. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings, and behaviors and teaches practical skills to shift unhelpful patterns. Narrative Therapy helps people reframe their life stories and separate themselves from problem-saturated narratives so new possibilities can emerge.

Finding the right approach is a collaborative process. The therapist will talk with the person about goals, past attempts, and what feels comfortable. Over a few sessions he will suggest methods that match the client’s needs and adapt as progress is made.

Because the biography does not list specific online formats, confirm the available session options before booking. Online work can make it easier to fit therapy into a busy schedule, allow shorter check-ins when time is limited, and reduce the need to travel. Many people find it simpler to schedule sessions around work, caregiving, or medical appointments when remote options are offered. Licensed professionals can use these methods to deliver ACT, CBT, and narrative work effectively when the approach fits the person and the issue at hand.