Nicola Spence, BACP

Nicola Spence helps people facing stress, anxiety, low self-esteem, grief and depression. She also supports those coping with life changes, addiction, relationship and intimacy concerns, sleep or eating difficulties, and career strain. Nicola works with clients who are exploring ADHD, bipolar challenges, parenting pressures, or compassion fatigue. She is based in the United Kingdom and communicates in English.

Nicola has three years of professional experience and holds BACP accreditation, which is listed as BACP. Her manner is human-centred and compassion-focused. She explains things plainly and avoids relying on symptom lists or diagnostic labels when possible.

Initial sessions begin by talking about what brings someone to therapy and building a shared account of their life story. Nicola helps people link past experiences to present difficulties and looks for practical ways to move forward. She offers choices and collaborates with clients to plan the direction of therapy.

Her work draws on several established approaches, including Acceptance and Commitment Therapy, Attachment-Based ideas, Client-Centred practice, Cognitive Behavioral Therapy and Dialectical Behavior Therapy. These methods are used alongside a trauma-aware perspective and a focus on each person’s strengths.

Nicola describes the therapeutic relationship as central to change. She acknowledges how hard it can be to ask for help and aims to create a respectful, steady space for people to be heard. If someone decides to start, Nicola meets them where they are and works at a pace that feels manageable.

Therapeutic approaches for online work

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and focus on what matters most to them. It supports action in line with personal values even when feelings are difficult. Cognitive Behavioral Therapy (CBT) looks at how thoughts, feelings and behaviours interact and teaches practical skills to change distressing patterns. These approaches suit problems like anxiety, low mood, unhelpful coping and difficulties with focus.

Finding the right way of working is a shared task. Nicola will discuss goals, preferences and the problems someone brings, and then suggest an approach or mix of methods. The choice is collaborative and can be adjusted as therapy unfolds to better match needs and progress.

Online sessions are offered by video call, phone, live chat or text-based messaging to fit different schedules and comfort levels. Video lets people use visual cues for deeper conversation, phone calls need less bandwidth and can fit a break at work, and messaging or live chat can be used for shorter check-ins or ongoing support. These options make therapy more flexible and help people access regular sessions even with busy lives.