Therapists in the US, UK and Australia

If you need help now

Therapist listings are provided by BetterHelp. We will earn a commission at no extra cost to you if you use our links to buy.

Nicola Spence

Therapist or counsellor · United Kingdom

Nicola Spence

BACP

Compassionate, human-centred counselling for emotional challenges

  • 3 years' experience
  • Based in United Kingdom
  • Sessions online
  • Speaks English
Continue with Nicola

Opens BetterHelp, where you can review online therapy options and next steps.

  • Grief and loss
  • Stress and anxiety
  • Self-esteem support

About Nicola

Nicola Spence is a counsellor who supports people facing stress, anxiety, grief and loss, low self-esteem and depression. She also helps with coping through life changes, addiction concerns, relationship and intimacy issues, and career or parenting strain. Nicola works in a human-centred, compassion-focused way and is open about not using symptom lists or diagnostic labels.

She has three years of professional experience and holds BACP registration, which is noted as her credential. Nicola starts by listening to what brings someone into therapy and builds a shared understanding of that person’s life story. This is a gentle, paced beginning rather than a rapid checklist exercise.

After the initial exploration, Nicola helps people link past experiences with current difficulties. Sessions are collaborative: she offers choices and together they plan what to work on next. Her approach aims to empower people rather than dictate a single path forward.

Nicola describes her practice as trauma-informed and centred on compassion. She values the human connection in therapy and treats vulnerability as a courageous step. Those who choose to work with her can expect a respectful, empathetic space to talk through painful or confusing issues.

She invites prospective clients to consider whether a non-diagnostic, person-focused style feels like the right fit. If it does, Nicola looks forward to meeting them and supporting practical steps towards clearer coping and more settled day-to-day life.

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

BACP · United Kingdom

Languages

English

How Nicola’s approaches work online and in-session

Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and values, then taking small steps that match what matters to you. It can help with anxiety, low mood and finding direction in life. Cognitive Behavioral Therapy (CBT) looks at patterns of thinking and behaviour and offers practical ways to test and change unhelpful cycles, which can help with depression, anxiety and sleep problems. Attachment-Based Therapy pays attention to how early relationships shape expectations and feelings today, and can help when past bonds still affect current trust or intimacy.

Finding the right approach is part of the work. Nicola will talk with each person about their needs, goals and preferences, and then suggest which methods to try. That decision is shared, so therapy can be adjusted as things change.

Session formats are not specified in the biography, so please confirm current options before booking. Online work can make it easier to fit therapy into busy days, remove travel time and allow check-ins from a familiar location. It can also let someone choose a shorter phone or video check-in when they need a quick touchpoint rather than a longer session.

Frequently asked questions

What concerns does Nicola help with?

She supports people with stress, anxiety, grief, depression, self-esteem and many life changes. Other areas include addictions, relationship and intimacy issues, parenting strain, career matters and compassion fatigue.

What is her therapeutic style like?

Her style is human-centred and compassion-focused with a trauma-informed outlook. She avoids using symptom lists or diagnostic labels and works collaboratively.

How much clinical experience does she have?

She has three years of professional work experience supporting people with a range of emotional and practical concerns.

What credential does she hold and where does she practise?

She is registered with the BACP and practises in the United Kingdom.

Which languages are sessions offered in?

Sessions are offered in English.

Can international clients book sessions?

International clients are not currently accepted.

How are sessions charged and what is the cost?

Cost varies with location and therapist availability, and sessions use a subscription that can be cancelled at any time.

How do I begin working with her?

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

Back to all therapists

If you need help now

This directory is not a crisis line, a hospice or an emergency service. If someone is in danger, or a medical situation is getting worse, call the emergency number or the care team looking after them.

United States
Call or text 988
Emergency 911
United Kingdom
Samaritans 116 123
Emergency 999
Australia
Lifeline 13 11 14
Emergency 000

Nicola SpenceReview online therapy options on BetterHelp.

Continue with Nicola