Nicola Spence, BACP

Nicola Spence is a counsellor registered with the British Association for Counselling and Psychotherapy (BACP) with three years of professional experience in the UK. She supports adults who are facing stress, anxiety, grief, low self-esteem, depression, parenting strain and other life changes. Nicola also works with people concerned about relationships, trauma and abuse, addictions, sexual intimacy issues and sleep or eating difficulties.

Nicola uses a human-centred way of working that looks at how life events have shaped a person. She does not focus on diagnostic labels or symptom lists. Instead she helps people talk through what led them to seek help and makes practical links between past experiences and current problems.

In early sessions she will listen and build a shared picture of a client's history and current struggles. From there she offers choices about which methods to try and collaborates on a plan. Nicola draws on approaches such as acceptance and commitment therapy, attachment-based work, client-centred methods, cognitive behavioural techniques and DBT skills when appropriate.

Sessions are conversational and aim to make difficult topics more manageable. Nicola recognises the challenge of reaching out and describes the relationship in therapy as central to change. People who prefer to avoid labels or strict symptom checklists are likely to recognise this way of working.

She practices in the United Kingdom and conducts her work in English. Before booking, readers should confirm current session options to ensure they match personal needs.

How her approaches are used in online work