Nicola Spence

• Stress and anxiety
• Grief and loss
• Acceptance based work

About Nicola

Nicola Spence works with stress, anxiety, grief, low self-esteem, depression and life changes, using a human-centred approach and trauma-informed principles. She is registered with the British Association for Counselling and Psychotherapy (BACP) and has three years of professional experience.

Nicola prefers not to use diagnostic labels or symptom checklists. She begins by listening to what brings someone to counselling and builds a shared understanding of their life story. Sessions focus on making links between past experiences and current difficulties in plain language.

Her way of working offers practical conversation and choice. Nicola outlines options and plans the direction of counselling together with the client. She uses techniques drawn from Acceptance and Commitment Therapy, Cognitive Behavioural Therapy and attachment-based ideas when they suit the work.

Clients can expect a clear, steady process of exploring feelings and everyday patterns. There is space to talk about grief, relationship and intimacy concerns, addictions, eating and sleeping difficulties, parenting pressures, career stresses and neurodiversity-related issues such as autism and ADHD.

Nichola also helps with long-term conditions and caregiver stress, chronic pain and body image issues, and with challenges around control, communication and commitment. Practical coping strategies and emotional skills are included where helpful, alongside emotionally focused understanding.

To begin, a short matching questionnaire is used and a first session is scheduled. Nicola works in English and is based in the United Kingdom. Sessions use a subscription that can be cancelled at any time.

Therapeutic approaches and practical online sessions

Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and values, then taking small, value-led actions; it can help with anxiety, low mood and avoiding things that matter. Cognitive Behavioural Therapy (CBT) looks at links between thoughts, feelings and actions and uses practical techniques to change unhelpful patterns; it is often used for anxiety and depression. Attachment-based ideas pay attention to how early relationships affect current ways of relating and can be useful for relationship and intimacy issues.

Choosing the right approach is part of the work. Nicola will help you decide which methods suit your needs, goals and preferences, and will discuss options together so the plan fits what you want to achieve.

Session formats are not specified in the biography, so please confirm current options before booking. Online sessions can make it easier to fit counselling into a busy week, reduce travel time and allow shorter check-ins when needed. They can also give scope to use exercises and worksheets during the session and to follow up work between meetings. Registered or accredited professionals and therapists commonly offer flexible ways to arrange sessions, and Nicola will explain practical arrangements when you schedule your first appointment.

Topics Nicola lists

• Stress and anxiety
• Grief
• Self-esteem
• Depression
• Coping with life changes
• Addictions
• LGBT
• Relationship issues
• Family conflicts
• Trauma and abuse
• Intimacy-related issues
• Eating disorders
• Sleeping disorders
• Parenting issues
• Anger management
• Career difficulties
• Bipolar disorder
• Coaching
• Compassion fatigue
• ADHD
• Abandonment
• Aging and geriatric issues
• Antisocial personality
• Attachment issues
• Autism and Asperger Syndrome
• Avoidant personality
• Blended family issues
• Body image
• Cancer
• Caregiver issues and stress
• Chronic pain, illness, and disability
• Codependency
• Commitment issues
• Communication problems
• Control issues
• Coping with natural or human-caused disaster
• Dependent personality
• Dissociation
• Divorce and separation
• Domestic violence
• Drug and alcohol addiction
• Eating and food-related issues
• Emptiness
• 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
• Isolation and loneliness
• Jealousy
• 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
• Personality disorders
• Phobias
• Polyamory and non-monogamous relationships
• Postpartum depression
• Post-traumatic stress
• Pregnancy and childbirth
• Prejudice and discrimination
• Process addictions
• Seasonal Affective Disorder (SAD)
• Self-harm
• Self-love
• Sex addiction
• Sexual dysfunction
• Sexuality
• Quitting smoking or vaping
• Social anxiety and phobia
• Women's issues
• Workplace issues
• Young adult issues

Ways of working

• 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

Questions about Nicola

Does she work with anxiety?

Yes. Anxiety and stress are listed areas she helps people with, including practical coping strategies and approaches from CBT.

What kind of counselling does she offer?

She uses a human-centred, trauma-informed style and draws on Acceptance and Commitment Therapy, Cognitive Behavioural Therapy and attachment-based ideas.

How much experience does she have?

She has three years of professional work experience as stated in her profile.

Is she a member of a professional body and where is she based?

She is registered with the British Association for Counselling and Psychotherapy (BACP) and is based in the United Kingdom.

Which languages does she use in sessions?

Sessions are offered in English.

Does she work with international clients?

No, international clients are not currently accepted.

How much do sessions cost?

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

How do I start sessions with her?

Click the Talk to a counsellor online button, complete a short matching questionnaire, and schedule your first session.