Nicola Spence
Compassionate, human-centred counselling
About Nicola
Nicola Spence works with people facing stress, anxiety, depression, grief, low self-esteem and life changes. She supports those dealing with relationship and intimacy issues, addiction, parenting strain, sleep and eating problems, and challenges like ADHD or bipolar. She also offers guidance on career strain, burnout and compassion fatigue.
Nicola uses a human-centred and compassion-focused style. She aims to hear a person's story without relying on symptom lists or labels. Sessions start by looking at what brought someone to therapy and building a shared understanding of their life and needs.
Background and approach
After the first conversations, Nicola helps people make links between past experiences and present difficulties. She works collaboratively to choose practical steps and options that feel helpful. The emphasis is on offering choices and empowering people to set the pace and direction of their work.
Her way of working draws on approaches such as Acceptance and Commitment Therapy, attachment-informed ideas, and client-centred listening. Cognitive and emotion-focused strategies may be used where they suit the person and the goals they bring. Nicola is based in the United Kingdom and holds BACP registration, which reflects professional standards in counselling.
She has three years of professional experience. Sessions are offered in English and are delivered via online formats to suit different needs.
What Nicola works with
How Nicola works
Listed by Nicola among the ways they work.
Listed by Nicola among the ways they work.
Listed by Nicola among the ways they work.
Listed by Nicola among the ways they work.
Listed by Nicola among the ways they work.
Listed by Nicola among the ways they work.
Sessions & fees
How Nicola’s approaches work in online therapy
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them. It focuses on clarifying personal values and taking small, practical steps toward a more meaningful life, which can be useful for anxiety, depression and life transitions.Attachment-Based ideas look at how early relationships shape current patterns of connection and trust. This approach can help with intimacy problems, attachment issues and understanding how past experiences affect present relationships.
Choosing the right approach is a collaborative process. Nicola will listen to your goals and preferences and then suggest approaches that fit your situation. Together you can try options, check what helps, and adjust the plan as you go.
Online sessions are offered by video call, phone, live chat or text-based messaging to suit different needs. Video calls allow face-to-face conversation, phone sessions can be easier when bandwidth is limited, live chat can be useful for shorter check-ins, and messaging lets people share thoughts between meetings. These options make it easier to fit therapy around work, family and other commitments while keeping the focus on progress and practical support.
| Session length | Typically 50 minutes |
|---|---|
| Client ages | Adults, 18 and over |
| Fees | Subscription via BetterHelp, cancel anytime |
| Insurance | Not billed directly |
Questions people ask
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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
