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ND Portrait of Nicole Decher
Online therapist

Nicole Decher

Practical support for stress, grief, and trauma

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Credentials
LCSW
Experience
10 years
Licensed in
Missouri
Languages
English
Format
Online sessions

About Nicole

Nicole Decher is a Licensed Clinical Social Worker who helps people manage stress, anxiety, grief, depression, and the effects of trauma. She offers a steady, respectful presence and practical ways to move forward when life feels overwhelming. Nicole also supports concerns such as parenting, relationship and intimacy struggles, sleep and eating issues, addiction, and career-related stress.

Her style is interactive and warm. Conversations are guided by curiosity and respect, not judgment.

Background and approach

Nicole listens first, then works with each person to try approaches that fit their life and goals. She uses a mix of evidence-based methods including cognitive behavioral techniques and mindfulness practices. Nicole adapts tools from Acceptance and Commitment Therapy and trauma-focused work when appropriate.

Sessions often involve learning simple skills, trying small behavior changes, and talking through hard moments so people feel more able to cope. Nicole has ten years of experience as a therapist and life coach and has worked with people facing medical illness, end-of-life and hospice concerns, grief, and histories of physical or emotional abuse.

She aims to help clients find practical steps toward relief and clearer choices. Practice is based in Missouri and sessions are offered in English. Nicole emphasizes collaboration and tailors the plan to each person’s needs, helping clients set realistic goals and track progress over time.

How therapy approaches translate to online care

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and feelings without getting stuck in them and then choose actions that match their values. It can be useful for anxiety, stress, and coping with life changes. Cognitive Behavioral Therapy, or CBT, focuses on identifying unhelpful thinking patterns and trying small behavior changes to shift mood and daily routines. It is commonly used for depression, anxiety, and sleep or eating struggles.

Choosing the right approach is a collaborative process. The therapist will talk with each person about their goals and preferences, try different techniques, and adjust the plan as progress is made. That means sessions can blend ACT, CBT, and mindfulness tools based on what works best for the individual.

Online formats include video calls, phone sessions, live chat, and text-based messaging. These options make it easier to fit therapy into busy schedules, allow follow-up conversations between sessions, and let people work from wherever they feel comfortable. The combination of structured techniques and flexible formats aims to make practical support more accessible for everyday life.

Acceptance and Commitment Therapy (ACT)

Less about arguing with difficult thoughts, more about loosening their grip and acting on what matters to you anyway. Values and committed action carry the work, which suits conversation at a distance.

Client-Centered Therapy

The direction comes from you rather than from a set programme. The therapist offers a warm, non-judgemental space to think out loud and work at your own pace. Online, this rests on the relationship rather than on being in the same room.

Cognitive Behavioral Therapy (CBT)

CBT looks at the link between what you think, how you feel, and what you do. You work on noticing unhelpful patterns and practising steadier responses. It suits online sessions well, because much of the work happens between appointments and can be talked through from anywhere.

Frequently asked questions

What concerns does Nicole address?
Nicole works with a broad range of issues including stress, anxiety, trauma and abuse, grief, depression, addictions, LGBT issues, relationship and family matters, parenting, sleep and eating problems, and more.
How would you describe her therapeutic style?
Her approach is interactive and empathetic, focusing on respectful listening and collaborative problem solving. Sessions combine talking with practical skill-building.
What is her professional background?
She has ten years of experience as a therapist and life coach and has supported people through serious illness, hospice and end-of-life issues, grief, and recovery from physical or emotional abuse.
What credentials does she hold and where is she based?
She is a Licensed Clinical Social Worker - LCSW, licensed in Missouri with license number MO LCSW 2021021591.
Which languages and regions are supported?
Sessions are offered in English and she does not accept international clients.
What session formats are available?
Therapy can be delivered via video calls, phone sessions, live chat, or text-based messaging to offer flexibility in how people connect.
How are costs handled?
Costs vary with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How does someone begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to therapist availability.

Specialties and expertise

Top specialties

Also works with

Therapeutic approaches

Experience
10 years
Licensed
Missouri
Languages
English

Next step

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