Nicola Spence

Nicola Spence is a counsellor based in the United Kingdom who helps people facing stress, anxiety, depression and grief. She also supports those dealing with self-esteem concerns, relationship and intimacy issues, and challenges around sleep, eating and addiction. Nicola works in a straightforward way and explains what happens in sessions clearly. Nicola describes her approach as human-centred and compassion focused. She pays attention to how a person's life story has shaped their current struggles. Sessions begin by exploring what brings someone to therapy and building a shared understanding of their situation. She does not use symptom checklists or diagnostic labels. Instead Nicola looks for practical links between past experiences and present patterns. The aim is to help people spot small changes that can make daily life feel more manageable. Nicola draws on a mix of well-known therapies such as Acceptance and Commitment Therapy and Cognitive Behavioural Therapy. She also uses attachment-based thinking and elements from Dialectical Behaviour Therapy when these fit a client's needs. Nicola holds BACP registration and has three years of professional experience. She says the relationship between counsellor and client is central to any change. If someone decides to begin, Nicola will work collaboratively to set goals and choose the pace of therapy. To start, clients are asked to use the site Start Therapy button and complete a short matching questionnaire so sessions can be scheduled according to availability.

How therapeutic approaches fit with online counselling

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and focus on values-based action. It is often used for anxiety, low mood and coping with life changes. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviours and teaches practical skills to manage symptoms such as worry or sleep problems. Attachment-Based Therapy pays attention to how early relationships influence current patterns and can help with intimacy and relationship concerns.

Finding the right approach is part of the work. Nicola will discuss different ways of working and make choices with each person based on their goals and preferences. This is a collaborative process where methods can be adjusted as therapy progresses.

The original biography does not specify which online session formats Nicola offers, so please confirm available options before booking. Online sessions can make it easier to fit therapy into a busy week, reduce travel time and allow shorter check-ins when needed. They can also make it simpler to continue work between appointments, using practical exercises and tools discussed in sessions.