Nicola Spence, BACP
3 years in practice
Nicola Spence is a counsellor who helps people manage stress, anxiety, grief, low self-esteem and depression.
License and registration
- BACP
- 407866 · expires May 2026
- Years in practice
- 3
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check the registration with the body that granted it.
About Nicola
Nicola Spence is a counsellor who helps people manage stress, anxiety, grief, low self-esteem and depression. She also supports people facing life changes, addiction-related concerns, relationship and intimacy difficulties, eating and sleeping problems, and work or career strain. Nicola works in the United Kingdom and offers sessions in English.
Her way of working places people and their life stories at the centre of the process. Nicola describes her practice as human-centred and compassion-focused, and she aims to avoid symptom lists or diagnostic labels.
Background and approach
Early sessions focus on understanding what brought someone to therapy and mapping how past experiences link to current struggles. Nicola uses several approaches to guide sessions, including Systemic therapy, Acceptance and Commitment Therapy and Attachment-based ideas. She combines these with client-centred listening and practical Cognitive Behavioural Therapy tools when helpful.
The result is a flexible blend rather than a single fixed method. Sessions can include exploring thoughts and patterns, noticing the impact of relationships, and trying small behavioural experiments between meetings. Nicola aims to offer choices and involve people in planning the direction of their work together.
She holds BACP registration, and has three years of professional experience. Nicola is open about how demanding it can be to reach out, and she frames the therapeutic relationship as the central part of the healing process.
Focus areas and approaches
Everything Nicola lists on their public professional profile, in their own terms.
- Stress, 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 counseling
- Immigration issues
- Impulsivity
- Infidelity
- Isolation / 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 / non-monogamous relationships
- Postpartum depression
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Process addiction (porn, exercise, gambling)
- Seasonal Affective Disorder (SAD)
- Self-harm
- Self-love
- Sex addiction
- Sexual dysfunction
- Sexuality
- Smoking / vaping cessation
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Approaches Nicola names
- Systemic Therapy
- 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
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
Approaches that translate to online therapy
Nicola draws on Systemic therapy to notice how relationships and everyday patterns affect feelings and behaviour, helping people spot repeating cycles and try small changes. She also uses Acceptance and Commitment Therapy, which focuses on clarifying values and taking meaningful action even when difficult thoughts or emotions are present. Attachment-based ideas guide attention to how early and current connections shape expectations and responses in close relationships.Finding the right approach is part of the work. Nicola will collaborate with each person to choose methods that fit their goals and preferences. She asks about past experiences of therapy, what has helped before, and what someone hopes to gain, then adapts the way sessions proceed over time.
Online therapy is offered by video call, phone, live chat or text-based messaging, which can make it easier to fit sessions around work, childcare or travel. Video calls are useful for face-to-face conversation, phone sessions need less bandwidth, live chat can allow shorter check-ins, and messaging supports ongoing reflection between meetings. Many registered or accredited professionals and therapists find these formats make care more flexible while keeping the focus on practical change and relationship-based support.
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Questions people ask
What kinds of problems can Nicola help with?
Nicola supports people with stress, anxiety, grief, low self-esteem, depression and coping with life changes. She also works with concerns such as addictions, relationship and intimacy issues, eating and sleeping problems, career stress and ADHD.
How would you describe her therapeutic style?
She works in a human-centred, compassion-focused way and avoids using diagnostic labels. Nicola focuses on understanding life stories and building a collaborative plan for therapy.
What is her clinical background?
Nicola has three years of professional experience and brings a trauma-aware perspective to her work. She emphasises the therapeutic relationship and shared decision-making.
Where is Nicola based and what are her credentials?
She is based in the United Kingdom and is registered with the British Association for Counselling and Psychotherapy, listed as BACP.
Which languages are supported for sessions?
Sessions are offered in English.
What session formats are available?
Nicola offers video calls, phone sessions, live chat and text-based messaging to suit different needs and schedules.
How much do sessions cost?
Cost varies with location and therapist availability; sessions are provided through a subscription model that can be cancelled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button and completing a short matching questionnaire. You can then schedule sessions according to therapist availability.
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