- Human centred
- Compassion focused
- Trauma informed
About Nicola
Nicola Spence is a counsellor based in the United Kingdom who supports people facing stress, anxiety, grief, low self-esteem, depression and codependency. She also helps with relationship and intimacy concerns, addiction-related struggles, career strain and the everyday pressures that wear people down. Nicola uses a human-centred, compassion-focused approach and works in a way that avoids symptom lists or diagnostic labels.
She begins by asking what brings someone to therapy and listens for the story behind the struggle. Nicola then helps people make links between past experiences and current difficulties. Sessions are collaborative and grounded in choice, so each person helps shape the direction of their work together.
Nicola draws on practical methods including Acceptance and Commitment Therapy, Cognitive Behavioural Therapy and Attachment-Based approaches when these fit a person’s needs. She also uses ideas from Dialectical Behaviour Therapy and Client-Centred Therapy to help with emotion regulation and self-understanding. These approaches are offered flexibly rather than as fixed packages.
With three years of professional experience and registration with the British Association for Counselling and Psychotherapy, Nicola aims to create a calm, respectful space for people to talk. She values honesty about what therapy can and cannot do and will say if her way of working may not suit someone’s preferences.
People who choose to work with Nicola can expect steady, plain-spoken guidance and an emphasis on their own strengths. She focuses on building a trusting relationship and practical steps that can be taken between sessions.
How therapeutic approaches translate to online work
Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without getting stuck in them, then taking action that aligns with personal values; it can help with anxiety, low mood and life changes. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviour and uses practical exercises to change unhelpful patterns, which is useful for anxiety, depression and coping skills. Attachment-Based Therapy pays attention to how early relationships shape current ways of relating and can help with intimacy, trust and codependency concerns.Finding the right approach is part of the therapy process. Nicola will work together with each person to identify which methods fit their goals and preferences, and adapt techniques over time. The early sessions focus on understanding what matters most and deciding the best direction together.
Session formats are not specified in the biography, so please confirm current options before booking. Many people appreciate online work because it can fit more easily around daily life, reduce travel time and make it simpler to schedule a shorter check-in when needed. Online conversations also allow exercises and worksheets to be shared in the moment, helping to practice new skills between sessions.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
3+ years
Credentials
Listed on profile
Languages
English
Frequently asked questions
What kinds of problems does Nicola help with?
She supports people with stress, anxiety, depression, grief, self-esteem problems and codependency, among other concerns such as relationship issues, addiction and career stress.
How would you describe her therapeutic style?
Her style is human-centred and compassion-focused, avoiding diagnostic lists and working collaboratively to understand each person’s story and needs.
What is her professional background?
Nicola has three years of professional experience supporting people with a range of emotional and life difficulties.
What credentials and where is she based?
She is registered with the British Association for Counselling and Psychotherapy (BACP) and practises in the United Kingdom.
Which languages are available for sessions?
Sessions are offered in English.
Can people from other countries work with her?
She is not taking international clients at this time.
How are fees and payment handled?
Cost varies with location and therapist availability; sessions use a subscription that can be cancelled at any time.
How do I begin working with her?
Use the Start Therapy button, complete a short matching questionnaire, and schedule according to the therapist’s availability.
Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.