About Nicola
Nicola Spence helps people facing stress, anxiety, grief, low self-esteem, depression and life changes. She also supports those dealing with addictions, relationship and intimacy concerns, eating and sleeping difficulties, parenting strains, career problems and compassion fatigue. Nicola works with people affected by ADHD, bipolar issues and a wide range of attachment and trauma-related difficulties.
Nicola practises in the United Kingdom and holds BACP registration, which indicates membership of the British Association for Counselling and Psychotherapy.
How Nicola works
She has three years of professional experience. Sessions are offered in English and are delivered online by video, phone, live chat or messaging. Her style is human-centred and compassion-focused.
Nicola avoids diagnostic labels and symptom checklists, and instead listens for the life events and relationships that shape each person. She aims to create a calm space where people can speak honestly about their experiences and feel heard. Nicola uses a mix of approaches to suit each person.
These include Acceptance and Commitment Therapy, Attachment-Based Therapy, Client-Centred methods, Cognitive Behavioural Therapy and Dialectical Behaviour Therapy. She works collaboratively to pick practical steps that fit daily life and personal goals. Initial sessions focus on what has brought someone to therapy and on building a shared understanding of their story.
Nicola aims to help people make connections between past events and present problems, while offering choices about how to move forward. She describes the therapeutic relationship as central to change and will work alongside each person to plan the next steps.
Nicola lists 17 ways of working on the entry:
- 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
What Nicola works with
The areas below are the ones Nicola selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
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
Training and background
| Register | BACP |
|---|---|
| Years in practice | 3 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | United Kingdom |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
Therapeutic approaches online and what they offer
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and decide what matters most to them. It focuses on values-based action so someone can take small steps toward a life they value even when tough feelings remain. Cognitive Behavioural Therapy (CBT) looks at how thoughts, feelings and behaviours interact and offers practical techniques to change patterns that fuel anxiety, low mood or sleeping problems. Attachment-Based Therapy explores how past relationships shape current ways of relating and can help with trust, closeness and repeating old patterns.Choosing an approach is usually a shared process. Nicola will work with each person to identify goals and preferences, then try methods that fit their needs. If an approach does not feel right, she will adjust the plan and offer alternatives so the work stays useful and realistic.
Online sessions are offered by video call, phone, live chat or text-based messaging to make counselling flexible. Video calls suit deeper conversations, phone sessions can be easier when bandwidth is limited, live chat or messaging work for shorter check-ins or for people who prefer writing. These options help people fit therapy around work, family and other commitments while keeping a consistent therapeutic relationship with a registered professional.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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