Directory entry
Nicola Spence, BACP
- Credentials
- BACP
- Experience
- 3 years
- Practising in
- United Kingdom
- Languages
- English
- Sessions
- Online only
- Client ages
- Adults, 18 and over
Works with Stress, AnxietyGriefSelf esteemDepressionCoping with life changes
Ready when you are
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Nicola Spence helps people manage stress, anxiety, grief, low self-esteem, depression and big life changes. She also supports those dealing with addictions, relationship and intimacy concerns, eating and sleeping problems, parenting strain, anger, career worries and conditions such as ADHD or bipolar. Nicola is based in the United Kingdom and works in English.
Nicola draws on a human-centred, compassion-focused stance in her work. She begins by listening to what brought someone to therapy and building a shared account of their life and current struggles.
Background and approach
That gives a clear starting point for making links between past experiences and present-day difficulties. Sessions aim to be practical and collaborative. Nicola offers choices about how to proceed and works with people to set manageable goals.
She uses familiar, straightforward language rather than clinical lists or labels. Her approach blends several evidence-informed methods, including Acceptance and Commitment Therapy, attachment-based ideas, Cognitive Behavioural Therapy and elements of Dialectical Behaviour Therapy. These are used to help with mood, relationships, coping skills and emotional regulation.
Nicola is registered with the British Association for Counselling and Psychotherapy, BACP. She has three years of professional experience and describes herself as trauma-aware. Nicola values the relationship in therapy and aims to provide a respectful, supportive space for people to talk through difficult issues.
If someone prefers a practitioner who works without diagnostic labels, Nicola asks that they consider whether her style would be a good fit before starting work together.
Approaches that suit online therapy
Acceptance and Commitment Therapy (ACT) focuses on noticing difficult thoughts and feelings and committing to actions that match personal values. It is often used for anxiety, depression and coping with life changes. Attachment-based work looks at how past relationships shape current patterns and helps people form healthier ways of relating. This can be useful for intimacy issues, relationship difficulties and attachment concerns. Cognitive Behavioural Therapy (CBT) helps people spot unhelpful thinking and try small experiments to change mood or behaviour, which can help with anxiety, low mood and sleep problems. Finding the right approach is part of the process and happens together. The therapist will discuss goals, preferences and what feels most helpful, then try methods that fit the person and their situation. Nicola aims to offer options and work collaboratively so adjustments can be made as therapy progresses. Online sessions make it easier to fit therapy into a busy life. Video calls are useful for face-to-face conversation when travel is difficult. Phone sessions need less bandwidth and can be a good short check-in. Live chat or text-based messaging suit people who prefer writing, want flexible timing, or like to reflect between messages. These formats increase flexibility and help more people access ongoing support.What concerns does Nicola help with?
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Areas of focus
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 counselling
- 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-Centred Therapy
- Cognitive Behavioural Therapy (CBT)
- Dialectical Behaviour 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
- Registered with
- BACP
- Languages
- English
Contacting Nicola
Nicola takes enquiries through BetterHelp. You answer a few questions about what you are looking for, then arrange sessions if it seems like a fit. Browsing costs nothing and you are not committing to anything by reading this page.
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