Profile / United States
Nicole Decher, LCSW
Missouri
LCSW in Missouri - anxiety and trauma
See online therapy options- CBT and mindfulness
- Trauma-focused care
- Life changes and grief
About Nicole
Nicole Decher is a Licensed Clinical Social Worker (LCSW) practicing in Missouri with ten years of clinical experience. She works with people facing stress, anxiety, trauma and abuse, grief, depression, and a range of life changes. Nicole also supports concerns such as addiction, sleep and eating difficulties, relationship and intimacy issues, and career or parenting stress.
Her approach is practical and interactional. Sessions focus on noticing unhelpful thoughts and habits, testing new ways of responding, and using skills in everyday life. She names approaches like Cognitive Behavioral Therapy and mindfulness as tools she uses alongside client-centered and trauma-focused work.
Nicole has experience supporting people coping with serious illness, hospice and end-of-life issues, and the losses that follow. She also has worked with adoption and foster care concerns and challenges linked to aging and chronic health conditions. This includes addressing self-harm, postpartum depression, and mood disorders when they arise.
In sessions she emphasizes respectful, direct conversation and collaborative planning. That looks like setting concrete goals, practicing skills in session, and adjusting plans based on what helps. Nicole describes her style as interactive and attentive to each person's needs.
She offers therapy in English and practices in Missouri. Fees vary by location and use a subscription model that can be canceled at any time. To start, prospective clients complete a short matching questionnaire and schedule a first session.
How CBT, ACT and client-centered work online
Nicole commonly uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and test different responses. CBT focuses on clear observations, short experiments, and skills you can practice between sessions to reduce worry and improve mood.She also draws on Acceptance and Commitment Therapy to help people notice difficult thoughts and feelings without getting stuck in them. ACT emphasizes values-based action and small, practical steps toward what matters to the person. Client-centered therapy is part of her practice too, which means sessions include straightforward listening and collaborative planning based on the client's goals.
Choosing the right approach is part of the work. Nicole will discuss different methods and help decide what fits best based on needs, goals, and personal preference. That decision is made together and can change over time as progress is reviewed.
Session formats are not specified here, so confirm current online options before booking. Many people find online sessions help fit therapy into a busy week, allow shorter check-ins when needed, and remove travel time. Online work can make it easier to practice skills in day-to-day life and keep steady progress without rearranging an entire schedule.
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 most often address?
She works with stress, anxiety, trauma and abuse, grief, depression, addictions, relationship and intimacy issues, and related life changes.
How would you describe her therapeutic style?
She uses an interactive, practical style that focuses on skills practice, noticing thoughts and habits, and making concrete changes.
How much clinical experience does she have?
Nicole has ten years of experience working as a therapist and life coach with a broad range of concerns.
What are her credentials and location?
She is a Licensed Clinical Social Worker (LCSW) practicing in Missouri.
Which languages are sessions offered in?
Sessions are offered in English.
Does she work with international clients?
She does not accept international clients at this time.
How are sessions paid for and what do they cost?
Fees vary with location; sessions use a subscription that can be canceled at any time.
What is the process for getting started?
Begin by selecting the See online therapy options button, completing a short matching questionnaire, and scheduling a first session.
Details come from information the therapist supplied to BetterHelp. A license can be checked with the state board.
Online talk therapy is not emergency care. If you are not safe, use the crisis numbers.