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Nicola Spence

Nicola Spence

United Kingdom

Compassionate, human-centred counselling

  • 3 years' experience
  • English
Continue with Nicola

Review online therapy options and next steps on BetterHelp.

Credentials
BACP
Registration
BACP, United Kingdom ยท 407866
Based in
United Kingdom
  • Focus on practical steps
  • Non-diagnostic approach
  • BACP registered

About Nicola

Nicola Spence is a counsellor who supports people facing stress, anxiety, grief, low self-esteem and depression. She also helps with life changes, relationship and intimacy concerns, sleep difficulties and struggles around parenting, addiction and ADHD. Nicola notes she works in a human-centred, compassion-focused and trauma-informed way. She is registered with the British Association for Counselling and Psychotherapy, BACP.

Nicola keeps sessions straightforward and person-focused. She starts by listening to what brought someone to therapy and taking time to hear their life story. Together she and the client make links between past experiences and current challenges. The aim is to identify small, practical steps that feel manageable.

Her work draws on approaches such as Acceptance and Commitment Therapy, Cognitive Behavioural Therapy and Attachment-Based ideas. She uses these methods to help people develop skills for managing difficult thoughts, regulating emotions and improving relationships. Nicola does not rely on diagnostic labels or symptom checklists when working with people.

Clients can expect a collaborative process where choices are discussed and the direction of therapy is planned together. Nicola emphasises the therapeutic relationship as central to progress and treats that connection as the core of change. She speaks English and works from the United Kingdom.

Nicola has three years of professional experience in counselling. She encourages people to consider whether her style - human-centred and non-diagnostic - matches their needs before they begin. If that approach resonates, she invites a thoughtful and paced way of working together.

How therapeutic approaches shape online work

Nicola draws on Acceptance and Commitment Therapy and Attachment-Based Therapy as part of her approach. Acceptance and Commitment Therapy helps people notice difficult thoughts and feelings without getting stuck, and supports choosing actions that match personal values. Attachment-Based Therapy looks at how early relationships influence current connections and helps people build more secure ways of relating.

Finding the right approach is part of the work. Nicola will talk through options and help decide which methods fit a person's goals and preferences. That decision is collaborative and may change as sessions progress, with practical techniques introduced alongside exploring relationship patterns and values.

If you are considering online therapy, please confirm the available session formats before booking. Online work can make it easier to fit sessions around family and work life, reduce travel time and allow shorter check-ins when needed. It can also suit people who prefer talking without being in the same room, or who need a quieter arrangement that avoids video. Registered or accredited professionals can adapt exercises from ACT and attachment work to an online setting to help with sleep problems, anxiety and relationship concerns.

Areas of expertise

Also works with

AddictionsLGBTRelationship issuesFamily conflictsTrauma and abuseIntimacy-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 issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDissociationDivorce and separationDomestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesForgivenessGuilt and shameHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIsolation / lonelinessJealousyLife purposeMen's issuesMidlife crisisMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic 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 issuesWorkplace 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

Credentials

United Kingdom

Languages

English

Frequently asked questions

What kinds of issues does Nicola help with?

She supports people with stress, anxiety, grief, low self-esteem and depression, as well as sleep problems, relationship and intimacy issues, addictions and life changes.

How would you describe her therapeutic style?

Her style is human-centred and compassion focused, with a trauma-informed outlook. Sessions aim to listen to the whole person rather than focusing on diagnostic labels.

What experience does she bring to sessions?

She has three years of professional counselling experience working in the UK with a range of emotional and practical concerns.

Is she accredited and where does she practise?

She is a member of 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 international clients work with her?

She does not accept international clients at this time.

How are costs and payments handled?

Fees vary with location and therapist availability; sessions use a subscription that can be cancelled at any time.

What should I do to begin working with her?

Use the Start Therapy button, complete a short matching questionnaire, and schedule sessions according to the therapist's availability.

Nicola SpenceContinue with Nicola