Nicola Spence

Nicola Spence is a BACP-registered counsellor who supports people dealing with anger alongside stress, anxiety, grief and low self-esteem. She also helps with depression, relationship and intimacy concerns, addiction and the strain of major life changes. Nicola writes plainly and aims to make first steps feel manageable for worried people seeking help.

She works from a human-centred, compassion-focused and trauma-informed viewpoint. Nicola does not rely on diagnostic labels or symptom checklists; instead she listens to each person's life story and looks for practical ways forward. Sessions begin with an exploration of what brought the person to therapy and a shared understanding of their situation.

From that starting point Nicola helps link past experiences with current difficulties. She offers choices about how to proceed and supports people to set realistic goals. Techniques she draws on include Acceptance and Commitment Therapy, Cognitive Behavioural Therapy, Attachment-based ideas and elements of Dialectical Behaviour Therapy.

Nicola has three years of professional experience in the United Kingdom and works with a broad range of concerns including trauma, parenting stress, ADHD and career issues. She values the therapeutic relationship and aims to create a respectful, steady space for people to talk things through and try new ways of coping.

If a non-diagnostic, relationship-centred way of working sounds helpful, Nicola can be part of that process and will discuss how to move forward during an initial conversation.

How therapeutic approaches translate to online work

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, and then take small steps toward a life that matters to them. It is useful for anxiety, anger and motivation problems. Cognitive Behavioural Therapy (CBT) focuses on the links between thoughts, feelings and behaviour and offers practical strategies to change unhelpful patterns; it often helps with low mood, anxiety and sleep issues. Attachment-based approaches look at how past relationships shape current responses and can be useful for intimacy, trust and communication concerns.

Choosing the right approach is part of therapy itself. Nicola works collaboratively, exploring a person's goals and preferences to decide which methods to try. She will check in and adapt what is being used as therapy progresses so it fits what the person finds most helpful.

The therapist's biography does not list specific online session formats, so please confirm available options before booking. Online work can make it easier to fit therapy around everyday life, for example by reducing travel time, allowing shorter check-ins during busy days, or removing the need to be on camera if someone prefers a phone conversation. Registered or accredited professionals can use these options to help keep therapy manageable alongside work, family and other commitments.