Counsellor profile
Nicola Spence, BACP
Counsellor for anxiety and grief
See online counselling options- Stress and anxiety
- Grief and loss
- Self esteem
About Nicola
Counsellor Nicola Spence is a BACP-registered practitioner in the United Kingdom with three years of professional experience. She works with stress and anxiety, grief and loss, self-esteem and depression, and related concerns such as motivation and confidence. Nicola writes plainly about not using diagnostic labels and about preferring a human-centred, trauma-informed way of working.
Nicola starts sessions by finding out what brought someone to counselling. She helps people make connections between their past and present difficulties. The focus is on practical understanding rather than checklists of symptoms. She invites clients to choose the direction of work and discusses options together.
Her practice draws on approaches that include Acceptance and Commitment Therapy, Attachment-Based work, Client-Centred methods, Cognitive Behavioural Therapy, and Dialectical Behaviour Therapy. These are used flexibly to suit what the person wants to address. Nicola avoids imposing diagnostic labels and explains this clearly at the first meeting.
Sessions tend to centre on talking, noticing patterns, and trying out small changes in thinking or behaviour. Nicola also explores how relationships and past experiences shape current reactions. She asks questions, offers reflections, and suggests exercises when they fit the client's goals.
She notes that counselling can feel hard at first and says she understands the difficulty of reaching out. Nicola aims for clear, practical steps and shared decisions about the pace and focus of the work. Prospective clients are advised to confirm session formats before booking.
Therapeutic approaches and how they fit online
Acceptance and Commitment Therapy helps people notice their thoughts and choose actions that match their values. It can suit worries, low mood, and difficulty coping with life changes. Cognitive Behavioural Therapy looks at links between thoughts, feelings and actions and often includes practical exercises to change unhelpful patterns.Finding the right approach is part of the work. Nicola will discuss different methods and agree what to try based on the person's goals, needs and preferences. This is a collaborative process and can change as the work progresses.
The site biography does not list specific session formats, so please confirm the available session types before booking. Many people value online counselling because it can fit around work, school or family commitments. It can make shorter check-ins easier, avoid travel time, and let people attend from a convenient location. Registered or accredited professionals often adapt exercises and pace for remote sessions so the work can still be practical and focused.
Areas of expertise
Also works with
Additional focus areas
Therapeutic approaches
Experience
3+ years
Listed in
United Kingdom
Languages
English
Frequently asked questions
What issues does she commonly help with?
Nicola works with stress, anxiety, grief, low self-esteem and depression, among other concerns listed in her profile.
How does she work in sessions?
She uses a human-centred, trauma-informed approach and helps people make links between past experiences and current difficulties.
How much professional experience does she have?
She has three years of professional work experience in counselling practice.
Which professional body is she registered with?
She is registered with the British Association for Counselling and Psychotherapy, shown as BACP.
Are sessions available in other languages?
Sessions are offered in English.
Does she accept clients outside the UK?
She does not accept international clients at this time.
How are sessions arranged and paid for?
Cost varies with location and sessions use a subscription that can be cancelled at any time.
How do I begin working with her?
Use the See online counselling options button, complete a short matching questionnaire, and schedule a first session.
Details come from information the counsellor supplied to BetterHelp. A membership or registration can be checked on the professional body's own register.
Online counselling is not emergency care. In an emergency call 999, or see the help numbers.