Nicola Spence, BACP - Therapist in United Kingdom

Anxiety and stress
Grief and loss
ACT and CBT

About Nicola

Nicola Spence is a counsellor registered with the British Association for Counselling and Psychotherapy (BACP) and has three years of professional experience. She works with people facing stress, anxiety, grief, low self-esteem, depression and changes in motivation. Nicola notes she does not rely on symptom lists or diagnostic labels and explains this approach clearly before work begins.

Therapy usually starts with a conversational assessment of what brought someone to sessions. Nicola asks about life history and current challenges, and she and the client build a shared understanding together. This guides what to focus on next and helps identify small, practical steps to try between meetings.

She uses approaches such as Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centred Therapy and Cognitive Behavioural Therapy (CBT) depending on what the person needs. Sessions include talking through thoughts and feelings, noticing how patterns show up in relationships, and practising skills to manage difficult moments.

Nicola also works with issues around relationships, intimacy, family concerns, addictions, sleeping and eating difficulties, career questions and neurodiversity-related challenges. She mentions clients bring matters like abandonment, attachment issues, body image and chronic illness into sessions.

The focus in early work is creating a clear plan together and agreeing what to try next. Nicola explains options and offers choices about how to proceed. This helps people see what fits their life before committing to longer term work.

Therapeutic approaches used in remote sessions

Nicola commonly draws on Acceptance and Commitment Therapy (ACT) and Cognitive Behavioural Therapy (CBT) when planning online work. ACT helps people clarify what matters to them and practise small actions that align with those values, which can reduce the impact of avoidance. CBT focuses on noticing and testing unhelpful thoughts and trying different behaviours to change how situations feel.

Finding the right approach is part of the work. Nicola will discuss options with the client and decide together which methods suit the person's goals and preferences. This collaborative choice can be reviewed as therapy progresses so the plan stays practical and relevant.

The practical benefits of online sessions are often about fitting therapy around life. Confirm which session formats are available before booking, as the biography does not list formats explicitly. Online meetings can make it easier to attend from home or work, reduce travel time, and allow shorter check-ins when schedules are tight. Registered or accredited professionals and therapists commonly use these formats to help clients keep therapy manageable alongside everyday commitments.

Areas of expertise

Primary focus

Stress, Anxiety Grief Self esteem Depression Coping with life changes

Also works with

Addictions LGBTRelationship issuesFamily conflictsTrauma and abuse Intimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementCareer difficultiesBipolar disorderCoachingCompassion fatigueADHD

Additional focus areas

AbandonmentAging and geriatric issuesAntisocial personalityAttachment issuesAutism and Asperger SyndromeAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCodependencyCommitment issues Communication problems Control issuesCoping with natural or human-caused disasterDependent personalityDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesForgiveness Guilt and shameHoardingHospice and end-of-life counselingImmigration issuesImpulsivity Infidelity Isolation / loneliness Jealousy Life purpose Men's issuesMidlife crisisMoney and financial issues Mood disorders Multicultural concernsNarcissismObsessions, compulsions, and OCD Panic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobiaWomen's issues Workplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

3+ years

Listed in

United Kingdom

Languages

English

Frequently asked questions

What concerns does Nicola commonly help with?

She works with stress, anxiety, grief, low self-esteem and depression, plus relationship and life-change issues.

What is her style in sessions?

Nicola uses a human‑centred, trauma‑informed way and prefers to avoid diagnostic labels. She focuses on building understanding and practical steps.

How much experience does she have?

She has three years of professional practice working with a range of emotional and behavioural concerns.

What credentials and location are listed?

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

Which languages are supported?

Sessions are offered in English.

Can I do sessions remotely or internationally?

She does not accept international clients. Confirm current session options before booking to check whether remote formats are offered.

How are fees handled?

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

What do I need to do to start?

Select the See online therapy options button, complete a short matching questionnaire, and schedule your first session.