Profile / United States
Nicole Spahl, LPC
Arizona
Licensed Professional Counselor - Anxiety and Relationships
See online therapy options- Cognitive Behavioral Therapy
- Attachment-based work
- Client-centered sessions
About Nicole
Nicole Spahl is a Licensed Professional Counselor (LPC) in Arizona with 27 years of clinical experience. She works with people facing stress, anxiety, trauma and abuse, parenting challenges, depression, relationship and family concerns, and mood issues including bipolar and ADHD-related struggles.
Nicole uses practical, relationship-focused methods to help clients notice patterns and try different responses. She draws on Cognitive Behavioral Therapy (CBT) along with attachment-informed and client-centered approaches. Sessions involve clear discussion, skill practice, and problem-solving rather than long lectures about theory.
She often supports people coping with life transitions, postpartum mood changes, panic attacks, and seasonal shifts in mood. Nicole also works with issues tied to adoption and foster care, abandonment, attachment difficulties, and communication problems that affect daily life.
Her work includes addressing the emotional fallout of domestic violence, family of origin problems, isolation and loneliness, and compassion fatigue for caregivers. She pays attention to self-esteem and self-love challenges and helps people create concrete steps to manage anger and reduce distress.
Nicole favors direct, structured sessions that combine insight about relationships with hands-on strategies from CBT and DBT skills. The focus is on reducing the symptoms that interfere with daily functioning and on building practical habits that support better coping. People meet to set goals, practice new skills, and evaluate what changes are helping.
She provides services in English and accepts international clients. Prospective clients are asked to confirm current session options before scheduling.
How CBT and attachment work online
Nicole often uses Cognitive Behavioral Therapy to help people identify unhelpful thoughts and habits, test new ways of thinking, and practice behavioral changes that reduce anxiety and depression. CBT sessions tend to include clear goals, homework between meetings, and hands-on skill practice that can be tracked over time.She also uses Attachment-Based approaches to look at how early relationship patterns shape current reactions. This work focuses on recognizing interaction styles and learning different ways to connect with others and manage relationship stress.
Finding the best approach is a collaborative process. The therapist will discuss what feels most useful based on the client’s goals, preferences, and the problems brought to sessions. Together they decide whether to emphasize CBT skills, attachment work, or a blend of methods and then adjust as progress is reviewed.
The biography does not specify which online session formats are used, so confirm current options before booking. Online therapy can make it easier to fit sessions into a busy week, offer shorter check-ins when needed, and reduce travel time. Some clients find phone or video sessions helpful for maintaining momentum between in-person visits, while others prefer a longer scheduled slot to work through emotional material.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
27+ years
Listed in
Arizona
Languages
English
Frequently asked questions
What kinds of problems does she help with most often?
She works with stress, anxiety, trauma and abuse, parenting, depression, relationship and family issues, and mood disorders including bipolar and ADHD-related concerns.
How would you describe her therapeutic style?
Her style is structured and relationship-focused, using clear discussion, skill practice, and problem-solving with elements of CBT, attachment work, and client-centered care.
How much clinical experience does she have?
She has 27 years of experience working in counseling and related clinical settings.
What credentials and location are listed?
She is a Licensed Professional Counselor (LPC) licensed in Arizona and practices from Arizona.
Can sessions be conducted in other languages or internationally?
Sessions are offered in English, and she accepts international clients.
What session formats are offered?
The original biography does not list specific session formats; please confirm current session options before booking.
How does payment and cost work?
Cost varies with location and sessions use a subscription that can be canceled at any time.
What are the first steps to start working together?
Select the See online therapy options button, complete a short matching questionnaire, and schedule 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.