About Nicola
Nicola Spence is a counsellor based in the United Kingdom who supports people with stress and anxiety. She also helps those coping with grief, low self-esteem, depression and motivation difficulties. Nicola works in a warm, human-centred way that respects each person's story and strengths.
She practises with compassion and aims to avoid symptom lists or diagnostic labels. Nicola begins by listening carefully to what has brought someone to therapy and builds a shared understanding of their life history and current struggles.
Background and approach
This helps to spot patterns and make sense of painful experiences. Sessions focus on practical steps that match the person's goals. Nicola offers choices and works collaboratively to plan the direction of therapy.
She encourages small, manageable changes that can reduce distress and build confidence. Her approach is trauma informed and values the relationship between counsellor and client as central to progress. Nicola believes feeling heard and understood is an important part of healing.
She draws on a mix of methods to support emotion regulation, clarity and self-acceptance. Nicola is registered with the British Association for Counselling and Psychotherapy, BACP, and has three years of professional experience. She conducts sessions in English and practises online using several formats to suit different needs and schedules.
Therapy approaches for online support
Acceptance and Commitment Therapy, or ACT, focuses on helping people notice their thoughts and choose actions that match their values. It can help with anxiety, stress and low motivation by building psychological flexibility. Cognitive Behavioural Therapy, or CBT, looks at the links between thoughts, feelings and behaviour and offers practical tools to change unhelpful patterns. CBT is often used for anxiety, depression and sleep or eating concerns.Choosing the right approach is a collaborative process. The therapist will listen to your goals and needs, then discuss which methods might fit best. Nicola will work together with you to try techniques and adjust the plan as therapy progresses.
Online sessions are offered by video call, phone, live chat or text-based messaging to suit different situations. Video calls allow face-to-face conversation, phone sessions can be helpful when bandwidth is limited, live chat supports quicker check-ins and messaging is useful for shorter, ongoing contact. These options make it easier to fit therapy around work, care duties or mobility limits and provide flexible ways to stay engaged with the process.
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What this therapist works with
Most often
Also listed
- Abandonment
- Addictions
- ADHD
- Aging and geriatric issues
- Anger management
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Dissociation
- Divorce and separation
- Domestic violence
- Drug and alcohol addiction
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- Forgiveness
- Guilt and shame
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intimacy-related issues
- Isolation / loneliness
- Jealousy
- LGBT
- Life purpose
- Men's issues
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual dysfunction
- Sexuality
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
- Experience
- 3 years
- Licensed
- Languages
- English
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