- CBT techniques
- Mindfulness practices
- Trauma-focused work
About Nicole
Nicole Decher is a Licensed Clinical Social Worker (LCSW) practicing in Missouri with 10 years of experience. She works with people facing stress, anxiety, trauma and abuse, grief, depression, addictions, relationship and intimacy concerns, and questions about life purpose.
Nicole also supports those dealing with medical or chronic health issues, end-of-life and hospice matters, parenting challenges, and mood disorders such as bipolar and postpartum depression. She helps people who are coping with major life changes, career crossroads, ADHD, and compassion fatigue. Nicole lists adoption and foster care, aging and geriatric concerns, and first responder issues among other focus areas.
Her style is interactive and person-centered. She listens, asks direct questions, and encourages practical steps you can try between sessions. Conversations tend to blend reflection with skill-building so clients leave with concrete tools to manage stress or mood shifts.
Nicole uses a mix of approaches including cognitive behavioral techniques, mindfulness practices, Acceptance and Commitment Therapy, client-centered methods, and trauma-focused work. These approaches are used to address thinking patterns, emotional regulation, and trauma-related reactions in everyday life.
Sessions typically look like focused conversations where goals are clarified and small experiments are planned. Nicole’s background in clinical social work and life coaching shapes a practical, goal-aware way of working. She asks about what matters most and helps people test changes that fit their daily routines.
Approaches used in remote sessions and how they help
Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters and taking small committed actions toward those values. It is useful for people who feel stuck or unsure about life direction. Cognitive Behavioral Therapy (CBT) looks at patterns of thinking and behavior and teaches practical skills to shift unhelpful habits. It often helps with anxiety, depression, and stress. Mindfulness Therapy trains attention and simple awareness skills to reduce reactivity and support emotion regulation, which can help with grief, trauma responses, and ongoing worry.Finding the right approach is treated as a collaborative process. Nicole will discuss goals, try methods in session, and adjust plans based on what is helpful. She combines approaches so the work fits the client's needs and preferences rather than insisting on a single method.
Confirm current session formats before booking since the profile does not specify exact options. Online work can make it easier to fit sessions into a busy week, allow shorter check-ins when needed, or avoid travel time. Talk with her about how you want sessions to fit into daily life, and she will help plan a rhythm that supports your goals.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
10+ years
Listed in
Missouri
Languages
English
Frequently asked questions
What kinds of concerns does she address?
She works with stress, anxiety, trauma and abuse, grief, depression, addictions, relationship and intimacy issues, life purpose questions, and related challenges listed in her profile.
How would she describe her therapeutic style?
Her style is interactive and client-centered. She blends reflective conversation with practical exercises and skills to try between sessions.
How much clinical experience does she have?
She has 10 years of experience working as a therapist and life coach in clinical social work settings.
What are her credentials and where is she based?
She is a Licensed Clinical Social Worker (LCSW) licensed in Missouri and practices from that state.
Does she see people who speak other languages?
Sessions are offered in English.
Can I do sessions from outside the United States?
She is not currently accepting international clients.
How are fees handled?
Cost varies with location and sessions use a subscription model that can be canceled at any time.
What do I do to start working with her?
Select the See online therapy options button, complete the short matching questionnaire, and schedule a first session to get started.
Online talk therapy is not emergency care. If you are in danger, use the crisis numbers.