- Years in practice
- 10
- Credentials
- LCSW
- Licensed in
- Missouri
- Languages
- English
- Focus
- Stress, Anxiety
- Focus
- Trauma and abuse
- Focus
- Grief
About Nicole
Nicole Decher is a Licensed Clinical Social Worker (LCSW) based in Missouri who helps people facing stress, anxiety, grief, depression, and parenting challenges. She brings ten years of clinical and coaching experience to conversations about life changes, trauma, chronic illness, and relationship strain. She speaks English and offers online formats including video, phone, live chat, and text messaging.
Her style is interactive and compassionate. Sessions are conversational and focused on practical steps clients can use between meetings.
Background and approach
She listens closely and adapts each session to the person in front of her rather than following a fixed script. Nicole draws from several evidence-informed approaches to shape the work. She uses cognitive behavioral tools to spot unhelpful thinking and acceptance-based strategies to help people live by their values.
Mindfulness practices and trauma-focused techniques are woven in when they fit the client's needs. Her background includes supporting people through serious illness, hospice and end-of-life concerns, and adoption and foster care issues. She has also worked with clients managing addiction, postpartum mood challenges, ADHD, and compassion fatigue.
That variety informs a flexible, problem-solving approach. Clients who want clear, down-to-earth guidance often find her approach useful. She frames challenges as problems to be understood and manageable steps to try.
If someone is ready to start, she asks a few questions to match goals to therapy methods and session formats.
What Nicole works with
Everything Nicole lists, in the therapist's own terms. Parenting is the reason this directory exists; the rest shows what else Nicole helps people with.
- Stress, Anxiety
- Trauma and abuse
- Grief
- Depression
- Addictions
- LGBT
- Relationship issues
- Family conflicts
- Intimacy-related issues
- Eating disorders
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Coaching
- Compassion fatigue
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Cancer
- Chronic pain, illness, and disability
- Communication problems
- Disruptive Mood Dysregulation Disorder (DMDD)
- First responder issues
- Hospice and end-of-life counseling
- Life purpose
- Mood disorders
- Postpartum depression
- Pregnancy and childbirth
- Self-harm
- Self-love
- Social anxiety and phobia
Approaches Nicole lists
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Mindfulness Therapy
- Trauma-Focused Therapy
Listing an approach is not evidence of training in it. This directory copies what each therapist names and does not check training records.
How therapeutic approaches translate to online care
Acceptance and Commitment Therapy, or ACT, helps people notice difficult thoughts and feelings while focusing on what matters most to them. Online ACT sessions often include values work and simple exercises to practice between meetings. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thinking and testing new behaviors; it tends to use clear, step-by-step exercises that work well over video or messaging. Mindfulness Therapy teaches attention and grounding practices that reduce reactivity; brief guided exercises can be shared in text or practiced live on a call.Finding the right approach is part of the work. The therapist will collaborate with the client to choose techniques that match their goals, comfort level, and daily life. That might mean mixing ACT, CBT, and mindfulness tools until something feels useful and doable.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation and visual cues. Phone sessions use less bandwidth and can be easier when travel is limited. Live chat and text-based messaging are good for short check-ins, journaling, or step-by-step coaching between sessions. These options make it easier to fit therapy into busy schedules while still using evidence-informed methods.
Questions people ask about Nicole
What concerns does Nicole commonly address?
Nicole helps people with stress, anxiety, trauma and abuse, grief, depression, addictions, parenting, relationship and intimacy-related issues, and many mood and life-change concerns.
How would you describe her therapy style?
Her style is interactive and empathetic, with a conversational focus on practical steps. She tailors sessions to each person's needs and goals.
What is her clinical background?
She is a Licensed Clinical Social Worker with ten years of experience working as a therapist and life coach in settings that included serious illness and end-of-life care.
Where is she located and licensed?
She practices in Missouri and holds the MO LCSW credential.
Which languages are sessions offered in?
Sessions are offered in English only and international clients are not currently accepted.
What session formats are available?
She provides online video calls, phone sessions, live chat, and text-based messaging to fit different schedules and communication preferences.
How are sessions priced?
Cost varies with location and therapist availability; sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.
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