- CBT techniques
- ACT strategies
- mindfulness practice
About Nicole
Nicole Decher is a Licensed Clinical Social Worker (LCSW) practicing in Missouri with ten years of experience. She works with adults facing stress, anxiety, grief, depression, trauma and abuse, and anger. She also supports people dealing with career strain, relationship and intimacy concerns, parenting challenges, and issues tied to chronic illness or life changes.
Her sessions are interactive and person-centered. Conversations focus on what is happening now, what reactions or patterns show up, and practical steps a person can try between visits. Nicole uses clear, concrete tools rather than jargon so people can test what helps in daily life.
She draws on several therapeutic approaches to match the situation. Cognitive Behavioral Therapy (CBT) is used to spot and shift unhelpful thoughts and behaviors. Acceptance and Commitment Therapy (ACT) helps people notice what matters and take small value-driven actions. Mindfulness techniques are offered to reduce reactivity and increase moment-to-moment awareness.
Nicole has experience supporting people through medical and end-of-life issues, adoption and foster care questions, and first responder stress. She also helps with mood disorders, ADHD, eating and sleeping problems, and parenting struggles. Her work includes short-term coaching and longer therapy when needed.
Sessions are conducted in English for adults in Missouri. Nicole asks new clients to complete a short matching questionnaire before scheduling an initial session. That first meeting is used to set goals and agree on practical next steps.
Therapeutic approaches and how online sessions work
Nicole commonly uses Cognitive Behavioral Therapy and Acceptance and Commitment Therapy in her practice. CBT focuses on identifying thought and behavior patterns that keep problems going and then testing practical changes. ACT encourages noticing thoughts and feelings while choosing actions that reflect personal values, which can reduce getting stuck in reactions.She also incorporates mindfulness techniques to help people lower reactivity and increase awareness in the moment. Mindfulness exercises are simple practices you can try during the week to notice stress and respond with intention rather than impulse.
Finding the right approach is part of the process. Nicole works collaboratively to pick methods that match a person's goals, concerns, and day-to-day life. That means trying an approach, checking what helps, and adjusting the plan together rather than sticking rigidly to one model.
Session formats are not specified in the biography, so confirm current options before booking. Online sessions can make it easier to fit therapy into a routine, allow shorter check-ins when schedules are tight, and reduce travel time. Therapists can adapt CBT exercises, ACT experiments, and mindfulness practices for virtual visits so the work continues between sessions.
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 concerns does she help with?
She supports adults with stress, anxiety, trauma and abuse, grief, depression, anger, and related issues such as parenting, career strain, and chronic illness.
What is her therapeutic style like?
Her style is interactive and person-centered, focusing on practical conversations and tools to try between sessions.
How long has she been practicing?
She has ten years of experience working as a therapist and life coach.
What are her credentials and where is she located?
She is a Licensed Clinical Social Worker (LCSW) licensed in Missouri.
Which languages are supported?
Sessions are offered in English.
Can people outside the United States work with her?
International clients are not currently accepted.
How are sessions paid for?
Cost varies with location and sessions use a subscription that can be canceled at any time.
How do I begin working with her?
Select the See online therapy options button, complete a short matching questionnaire, and schedule a first session.