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Nicola Spence

Nicola Spence, BACP

Therapist · United Kingdom · 3+ years of experience

Gentle, human-centred counselling for midlife concerns

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  • Human-centred approach
  • Compassion focussed
  • BACP registered

About Nicola

Nicola Spence is a counsellor based in the United Kingdom who supports people facing midlife challenges, stress, anxiety, grief and low self-esteem. She also helps with depression, motivation, confidence and coping with life changes. Nicola approaches work with empathy and a human-centred focus, and she is open about not using diagnostic labels or symptom lists in her practice.

Nicola has three years of professional experience and holds BACP registration, which is shown as BACP. She describes her way of working as compassion focussed and trauma informed, emphasising the person behind the difficulty rather than a diagnostic category. This means conversations begin with the individual story rather than a checklist.

In the first sessions Nicola will explore what brought someone to therapy and work to build a shared understanding of their life story. She makes links between past experiences and current struggles, and helps people identify choices for change. Her role is described as collaborative and empowering, offering options and jointly deciding the direction of the work.

Nicola values the therapeutic relationship and speaks frankly about the courage it takes to be vulnerable. She has personal experience of seeking support and says this shapes her appreciation for people who reach out. Her style is warm and respectful, aiming to create a space where people can speak honestly about what matters to them.

People interested in starting can expect grounded, plain-spoken conversations that focus on practical steps as well as emotional understanding. Nicola asks clients to consider whether a non-diagnostic, human-centred approach fits their needs before booking.

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

Therapeutic approaches and online access

Nicola draws on Acceptance and Commitment Therapy and Attachment-Based Therapy alongside client-centred ways of working. Acceptance and Commitment Therapy (ACT) focuses on helping people make room for difficult thoughts and feelings while committing to actions that match their values; it can be useful for anxiety, depression and life transitions. Attachment-Based Therapy looks at how early relationships shape current patterns and helps people understand and change those relational habits; it often helps with trust, intimacy and relationship-related difficulties. Client-Centred Therapy puts the person’s experience at the heart of sessions, offering empathic listening and support to help people find their own solutions.

Finding the right approach is usually a shared process. Nicola will discuss what feels most useful based on the client’s goals, history and preferences. Together they decide which ideas to try and how to pace the work, making adjustments as required.

Practical benefits of online therapy include easier fitting of sessions into a busy week and shorter travel time, which can make regular meetings more realistic. Because the biography does not list specific session formats, confirm the available options before booking. Registered or accredited professionals often offer a range of ways to meet, and Nicola will help match the format to your needs so sessions can fit into everyday life.

Frequently asked questions

What kinds of problems does Nicola help with?

Nicola supports people with stress, anxiety, grief, self-esteem and depression, among other midlife and life-change concerns.

How would you describe her therapeutic style?

Her style is human-centred and compassion focussed, with an emphasis on understanding a person’s life story rather than using diagnostic labels.

What experience does she bring to sessions?

She has three years of professional work experience in the UK and draws on that practice in her conversations with clients.

What credentials and location are listed?

Nicola is listed with BACP and practices in the United Kingdom.

Which languages can sessions be held in?

Sessions are offered in English.

What session formats are available?

Session formats are not specified in the biography; please confirm the current options before booking.

How are sessions paid for and what does it cost?

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

How do I begin working with Nicola?

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

Nicola Spence Online therapy options on BetterHelp

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