About Nicole
Nicole Decher is a Licensed Clinical Social Worker who helps people facing stress, anxiety, grief, depression, trauma, and issues like addiction or relationship strain. She speaks plainly and listens carefully to understand what each person needs. Nicole brings ten years of experience to sessions and focuses on practical steps that fit everyday life.
Her approach is interactive and compassionate. Conversations are tailored to the person in front of her, with time spent on what’s working and what needs to change.
Background and approach
She uses techniques drawn from cognitive behavioral methods, mindfulness, and acceptance-based work to help people manage strong feelings and upsetting thoughts. Nicole also supports people dealing with medical challenges, end-of-life concerns, and caregiving stress. She has experience with grief, hospice work, and chronic illness, and can help people find ways to cope when life feels overwhelming.
Sessions often include skill-building for mood regulation, strategies for sleep and eating issues, and tools for managing anger or compulsive behaviors. Nicole integrates coaching elements when helpful, focusing on small, achievable changes that add up over time. People can expect a respectful, down-to-earth tone in sessions.
The work is collaborative - goals are set together and adjusted as life changes. Nicole offers care from Missouri and conducts sessions in English.
Approaches that translate well to online care
Nicole draws on Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in online sessions. ACT helps people notice unhelpful thoughts, get clear on values, and take small actions toward the life they want. CBT focuses on identifying patterns of thinking and behavior and practicing concrete skills to reduce anxiety or depression.She also uses Client-Centered techniques, which mean the conversation is guided by the person’s needs and pace. The therapist and client decide together which approach fits best, and that choice can shift as goals and circumstances change. Finding the right style is a collaborative process rather than a one-time decision.
Online formats include video calls, phone sessions, live chat, and text-based messaging. Video lets people work face to face and practice skills in real time. Phone sessions can be easier when bandwidth is limited or when someone prefers not to be on camera. Live chat and text messaging are useful for brief check-ins, coaching-style support, or staying connected between longer sessions. These options make scheduling more flexible and help people fit therapy into busy lives.
Frequently asked questions
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Specialties and expertise
Top specialties
Also works with
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Anger management
- Bipolar disorder
- Cancer
- Career difficulties
- Chronic pain, illness, and disability
- Coaching
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Eating disorders
- Family conflicts
- First responder issues
- Hospice and end-of-life counseling
- Intimacy-related issues
- LGBT
- Life purpose
- Mood disorders
- Parenting issues
- Postpartum depression
- Pregnancy and childbirth
- Relationship issues
- Self esteem
- Self-harm
- Self-love
- Sleeping disorders
- Social anxiety and phobia
Therapeutic approaches
- Experience
- 10 years
- Licensed
- Missouri
- Languages
- English