Nicola Spence, BACP - Therapist in United Kingdom

Emotionally-Focused Therapy
Acceptance and Commitment Therapy
Attachment-Based approach

About Nicola

Nicola Spence is a counsellor registered with the British Association for Counselling and Psychotherapy (BACP) and has three years of professional experience in the United Kingdom. She works with people struggling with stress, anxiety, grief, low self-esteem, depression and motivation. Nicola also supports clients dealing with relationship concerns, trauma, intimacy-related issues, addictions and sleep or eating problems.

Her way of working is human-centred and trauma-informed. Nicola does not use symptom lists or diagnostic labels. She starts by listening to what brought someone to therapy and building a shared understanding of their life story.

After an initial exploration, Nicola helps people connect past experiences with current difficulties. Sessions focus on noticing patterns, naming emotions, and finding small, practical steps forward. She offers choices about how therapy proceeds and plans next steps together with each client.

Nicola uses approaches that include Emotionally-Focused Therapy, Acceptance and Commitment Therapy and Attachment-Based Therapy alongside client-centred and cognitive behavioural techniques. These methods are used to work with emotional patterns, relationship dynamics and coping strategies rather than to produce diagnostic assessments.

She asks people to expect a straightforward, conversational style where the therapeutic relationship is central. Nicola values honesty about what is and is not a good fit, and she invites clients to raise concerns about the direction of therapy at any time.

How Nicola uses EFT, ACT and attachment ideas online

Emotionally-Focused Therapy (EFT) helps people name and work with hard emotions and the patterns those emotions create in relationships. It is often used to shift repeating negative cycles and to make feelings easier to recognise and respond to.

Acceptance and Commitment Therapy (ACT) focuses on noticing thoughts and feelings without being driven by them, and on choosing values-based actions. It can be helpful for anxiety, low mood and problems with motivation.

Attachment-Based Therapy looks at how early connections shape current ways of relating. It supports people who want to understand why certain relationship patterns keep repeating.

Choosing the right approach is part of the work. Nicola will talk with each person about what they want from therapy and together they will decide which methods suit their goals and preferences. The process is collaborative and reviewed as therapy progresses.

Confirm the specific online session options before booking, as formats are not listed here. Online work can make it easier to fit sessions around work, childcare or travel. It can also allow shorter check-ins when needed, and options that do not require being on camera if that helps someone engage.

Areas of expertise

Primary focus

Stress, Anxiety Grief Self esteem Depression Coping with life changes

Also works with

AddictionsLGBTRelationship issuesFamily conflictsTrauma and abuse Intimacy-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 disabilityCodependency Commitment issues Communication problems Control issuesCoping with natural or human-caused disasterDependent personalityDissociationDivorce and separation Domestic violenceDrug and alcohol addictionEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issues Forgiveness Guilt and shameHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelity Isolation / loneliness Jealousy Life purpose Men's issues Midlife crisisMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depression Post-traumatic stress Pregnancy and childbirthPrejudice and discriminationProcess addiction (porn, exercise, gambling)Seasonal Affective Disorder (SAD)Self-harmSelf-loveSex addictionSexual dysfunctionSexualitySmoking / vaping cessationSocial anxiety and phobia Women's issuesWorkplace issuesYoung adult issues

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based Therapy Client-Centered Therapy Cognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential Therapy Jungian Therapy Mindfulness Therapy Motivational Interviewing Narrative Therapy Psychodynamic Therapy Solution-Focused Therapy Somatic Therapy Trauma-Focused Therapy Internal Family Systems Systemic Therapy

Experience

3+ years

Listed in

United Kingdom

Languages

English

Frequently asked questions

What kinds of concerns does Nicola work with?

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

What is her therapeutic style?

Her style is human-centred and trauma-informed. Sessions are conversational and focus on understanding feelings and patterns rather than using symptom checklists.

How much experience does she have?

Nicola has three years of professional experience working as a counsellor in the United Kingdom.

What credential does she hold and where does she practise?

She is registered with the British Association for Counselling and Psychotherapy (BACP) and practises in the United Kingdom.

Which languages are sessions offered in?

Sessions are offered in English only.

Can people outside the UK work with her?

She does not accept international clients at this time.

How are sessions organised and what do they cost?

Session cost varies by location and sessions use a subscription that can be cancelled at any time.

How do I begin working with her?

Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session.

Profile details come from information the therapist supplied to BetterHelp. Credential and registration rules differ between the United States, the United Kingdom and Australia.