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Nicola Spence

Therapist · United Kingdom

Nicola Spence, BACP

Compassionate counsellor focusing on thoughts and habits

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Review online therapy options on BetterHelp.

  • Human centred approach
  • Works with life changes
  • Focus on everyday habits

About Nicola

Nicola Spence is a BACP-registered counsellor who helps people dealing with stress, anxiety, grief, low self-esteem and depression. She supports those facing life changes, relationship and intimacy concerns, addiction issues, and everyday patterns of thinking and behaviour. Her approach is human-centred and compassion focused, with attention to how past experiences influence present habits and thoughts.

Nicola does not use symptom lists or diagnostic labels. She begins by listening closely to what brought someone to therapy and builds a shared understanding of their life story. Sessions focus on making connections between history and current difficulties and on practical ways to shift unhelpful patterns.

Her style aims to be collaborative and empowering. Nicola offers choices about the direction of therapy and works with clients to set achievable goals. She values a strong therapeutic relationship and regards trust and respect as central to progress.

Across sessions she draws on approaches such as Acceptance and Commitment Therapy, Cognitive Behavioral Therapy and Attachment-Based ideas to help people notice thoughts and everyday habits and try different responses. Nicola has three years of professional experience and holds BACP registration, which is shown as BACP.

She works in the United Kingdom and conducts sessions in English. If someone is unsure whether her way of working fits their needs, she encourages them to make initial contact to find out more and consider next steps.

Areas of expertise

Also works with

AddictionsLGBTRelationship issuesFamily conflictsTrauma and abuseIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesAntisocial personalityAttachment issuesAutism and Asperger SyndromeAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesForgivenessGuilt and shameHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaWomen's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

3+ years

Credentials

BACP · United Kingdom

Languages

English

How therapeutic approaches shape online sessions

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, and to choose actions that reflect their values. It can be useful for anxiety, low mood and living with long-term challenges. Cognitive Behavioral Therapy (CBT) looks at the links between thoughts, feelings and actions and teaches practical ways to change unhelpful thinking and behaviour patterns. It is often used for anxiety, depression and stress. Attachment-Based ideas pay attention to how early relationships shape current ways of relating and responding, which can help with relationship strain and intimacy issues.

Finding the right approach is part of the work. Nicola will talk with each person about their goals, preferences and life circumstances and together they will decide which methods to try. The process is collaborative, with room to adapt if something doesn’t feel helpful.

Session formats are not specified in the biography, so confirm current options before booking. In general, online therapy can make it easier to fit sessions around work, childcare and daily routines. It can also allow shorter check-ins when needed, avoid travel time and reduce interruptions to the day. Registered and accredited professionals use these practical benefits to help clients maintain continuity of care and keep therapy manageable alongside everyday life.

Frequently asked questions

What concerns does this counsellor help with?

Nicola supports people with stress, anxiety, grief, self-esteem, depression and coping with life changes, alongside issues like addictions, relationship and family matters, trauma, sleep and eating concerns.

How would she describe her therapeutic style?

Her style is human-centred and compassion focused. Sessions aim to be collaborative, with an emphasis on building trust and offering choices about treatment direction.

What background and experience does she have?

She has three years of professional experience working with the concerns listed and draws on that clinical practice when planning sessions.

What credentials and location are listed?

She is registered with BACP and works in the United Kingdom.

Which languages are used in sessions?

Sessions are offered in English.

Does she take international clients?

International clients are not currently accepted.

How are sessions paid for and what do they cost?

Cost varies with location and therapist availability; sessions use a subscription that can be cancelled at any time.

How do I start therapy with her?

Select the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

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