About Nicole
Nicole Decher is a Licensed Clinical Social Worker (LCSW) with ten years of experience helping people manage stress, anxiety, grief, depression, and trauma. She uses a straightforward, compassionate style to make starting therapy less overwhelming. Nicole focuses on practical steps people can use between sessions.
Her work is interactive and person-centered. Conversations aim to clarify what matters most to each person and find small changes that build confidence. She often blends cognitive-behavioral ideas with mindfulness practices to help people notice unhelpful patterns and try new responses.
Background and approach
Nicole has supported people facing serious illness, hospice and end-of-life concerns, and complex grief. She has also worked with those coping with emotional and physical abuse, addiction, mood disorders, and life transitions like parenting or career shifts. Her background includes assisting people with ADHD, social anxiety, and compassion fatigue.
Sessions are tailored to each person’s needs. Nicole helps set clear goals and uses exercises, reflection, and gentle challenges to move toward those goals. She describes the work as collaborative - clients and therapist try options, see what helps, and adjust the plan.
Nicole brings a calm, respectful presence to the room. She encourages practical skills that apply to daily life, such as grounding, thought work, and values-based choices. Her aim is to help people feel more capable managing anxious thoughts, painful memories, and major life changes.
Therapeutic approaches and how online sessions help
Nicole commonly uses Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in her work. Acceptance and Commitment Therapy (ACT) focuses on clarifying personal values and taking action toward them, while learning to live with difficult thoughts and feelings rather than avoiding them. Cognitive Behavioral Therapy (CBT) helps identify unhelpful thinking and behavior patterns and teaches practical techniques to change them.Finding the right approach is part of the journey. Nicole works collaboratively to choose methods that match a person's goals and preferences. She will try different exercises and check in about what helps, adjusting the plan as needed so the work fits the person's life.
Online sessions offer flexibility and practical benefits. Video calls let people keep face-to-face interaction without travel. Phone sessions can be easier when bandwidth is limited or a quick check-in is needed. Live chat and text-based messaging work well for brief updates, daily coaching, or when someone prefers writing to speaking. These options make it easier to fit therapy around work, parenting, medical care, or other responsibilities, while keeping consistent progress toward goals.
Questions people ask
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What this therapist works with
Most often
Also listed
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Cancer
- Career difficulties
- Chronic pain, illness, and disability
- Coaching
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Eating disorders
- Family conflicts
- First responder issues
- Hospice and end-of-life counseling
- Intimacy-related issues
- LGBT
- Life purpose
- Mood disorders
- Parenting issues
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sleeping disorders
- Social anxiety and phobia
Therapeutic approaches
- Experience
- 10 years
- Licensed
- Missouri
- Languages
- English
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