About Nicole
Nicole Decher is a Licensed Clinical Social Worker (LCSW) who helps people facing stress, anxiety, depression, grief, trauma, and ADHD. She offers steady, practical support for problems like sleep and eating issues, relationship and intimacy struggles, substance concerns, and career strain. Her style is warm and interactive, with an emphasis on respect and straightforward conversation.
With ten years of clinical experience, Nicole blends therapy and life-coaching skills. She uses cognitive behavioral techniques to identify unhelpful thinking and build new habits.
Background and approach
Mindfulness tools help clients notice thoughts and sensations without getting swept up in them. Nicole also draws on Acceptance and Commitment Therapy to help people clarify values and take small committed steps toward a meaningful life. Trauma-focused methods guide work with people who have experienced physical or emotional abuse.
Every plan is shaped to the person in front of her rather than a one-size-fits-all protocol. She has worked with people coping with medical challenges such as cancer, chronic illness, or end-of-life concerns, along with grief and caregiving stress. Her experience includes supporting those facing mood disorders, postpartum changes, and compassion fatigue among helping professionals.
Sessions emphasize practical strategies you can try between meetings. Nicole communicates plainly and listens closely to what matters most to each person. She helps clients set clear goals, build coping skills, and track progress.
If someone is ready to make a change, she offers steady guidance and achievable steps forward.
Approaches that guide online care
Nicole often uses Acceptance and Commitment Therapy to help people clarify what matters most and take small steps toward those values. ACT focuses less on getting rid of thoughts and more on committing to meaningful actions despite difficult feelings.She also uses Cognitive Behavioral Therapy to spot and change patterns of thinking and behavior that keep problems going. CBT helps with anxiety, depression, sleep difficulties, and habit change by teaching concrete skills you can practice between sessions.
Finding the right approach is part of the work itself. Nicole treats therapy as a collaboration and will help figure out which methods fit a person’s needs, goals, and preferences. She adjusts techniques as progress is made so the plan stays useful and realistic.
Online sessions offer flexibility for different schedules and needs. Video calls allow face-to-face conversation when a longer, in-depth session is needed. Phone sessions can be a good option when bandwidth is limited or when someone prefers not to be on camera. Live chat and text-based messaging work well for brief check-ins, coaching-style support, or quick skill reminders between longer appointments.
Questions people ask
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What this therapist works with
Most often
Also listed
- 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
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