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LCSW

Nicole Decher, LCSW

  • Experience10 years
  • LocationMissouri
  • Focus areasADHD, Stress and Anxiety, and Trauma and abuse
  • Therapy approachesAcceptance and Commitment Therapy (ACT) and Client-Centered Therapy
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About Nicole

Nicole Decher is a Licensed Clinical Social Worker (LCSW) based in Missouri who brings a decade of experience supporting people through stress, anxiety, depression, trauma, grief, and a wide range of life adjustments.

Background and approach

She has worked with clients facing complex health challenges such as cancer and chronic illness, end of life and hospice concerns, and those processing physical trauma or emotional abuse. Her practice also addresses mood and behavioral issues including bipolar disorder, addictions, ADHD, and difficulties with sleep, eating, and anger.

Her style is interactive and empathic, emphasizing respect, dignity, and sensitivity. Nicole integrates cognitive-behavioral techniques with acceptance-based and mindfulness strategies as well as client-centered listening to shape individualized treatment plans.

She frames therapy as a collaborative process, tailoring sessions to each person’s needs while offering coaching elements for clients seeking practical tools for coping and life changes. Nicole welcomes the courage it takes to begin therapy and focuses on empowering clients as they work toward greater self-awareness, emotional balance, and clearer direction.

She uses a versatile approach to meet varied concerns and helps clients build skills for long-term resilience.

Evidence-Informed Approaches Adapted for Online Care



Acceptance and Commitment Therapy (ACT) encourages clients to clarify personal values and take committed action even when uncomfortable thoughts or feelings are present; it can help with anxiety, stress, and life transitions by focusing on meaningful goals rather than symptom elimination. Cognitive Behavioral Therapy (CBT) teaches practical skills to identify and change unhelpful thought patterns and behaviors, often proving useful for depression, anxiety, sleep problems, and mood regulation. Mindfulness-based techniques cultivate moment-to-moment awareness and self-compassion, which can support emotional regulation and recovery from trauma when paired with other interventions.

Finding the right combination of methods is part of the collaborative work Nicole offers. She will partner with each client to evaluate needs, preferences, and goals, and adapt these approaches over time so the plan remains relevant and practical. Clients are encouraged to provide feedback so that sessions meet changing priorities.

Online therapy offers flexibility through video calls, phone sessions, live chat, or text-based messaging, allowing people to fit care into busy schedules or manage health limitations. These formats make it easier to access ongoing support, try out tools between sessions, and maintain continuity of care when life circumstances change.

Frequently asked questions

What concerns does Nicole commonly address?
She works with a broad range of issues including stress, anxiety, depression, trauma and abuse, grief, addictions, ADHD, relationship and intimacy-related issues, and other mood or life transition concerns.
How would you describe her therapeutic style?
The approach is interactive and empathic, blending client-centered listening with practical strategies to help people identify goals and build coping skills.
What is Nicole's clinical background and experience?
Nicole is a Licensed Clinical Social Worker (LCSW) with 10 years of experience working with clients across medical, hospice, trauma, and mood-related concerns.
Where is Nicole licensed to practice?
She holds an LCSW in Missouri with the license number MO LCSW 2021021591 and practices from that state.
Does she offer sessions in languages other than English or accept international clients?
Sessions are provided in English only, and she is not accepting international clients at this time.
What session formats are available for therapy?
Appointments can be scheduled as video calls, phone sessions, live chat, or text-based messaging to accommodate different communication preferences.
How are fees and subscriptions handled?
Cost varies with location and therapist availability; sessions use a subscription model that can be canceled at any time.
What steps are needed to begin working with Nicole?
To get started, select the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.

Areas of expertise

Primary focus

Stress, AnxietyTrauma and abuseGriefDepression

Also works with

AddictionsLGBTRelationship issuesFamily conflictsIntimacy-related issuesEating disordersSleeping disordersParenting issuesAnger managementSelf esteemCareer difficultiesBipolar disorderCoping with life changesCoachingCompassion fatigueADHD

Additional focus areas

Adoption and foster careAging and geriatric issuesCancerChronic pain, illness, and disabilityCommunication problemsDisruptive Mood Dysregulation Disorder (DMDD)First responder issuesHospice and end-of-life counselingLife purposeMood disordersPostpartum depressionPregnancy and childbirthSelf-harmSelf-loveSocial anxiety and phobia

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Client-Centered TherapyCognitive Behavioral Therapy (CBT)Mindfulness TherapyTrauma-Focused Therapy

Experience

10+ years

Licensed

Missouri

Languages

English

What Nicole can help with

Nicole Decher works with clients on stress and anxiety, trauma and abuse, grief, and depression.

Nicole works with clients with concerns including depression, anxiety, physiological concerns including cancer or serious illness, and end of life and hospice care.

How Nicole approaches therapy

Nicole's clinical approaches include Acceptance and Commitment Therapy (ACT), Client-Centered Therapy, Cognitive Behavioral Therapy (CBT), Mindfulness Therapy, and Trauma-Focused Therapy.

Experience and training

Nicole is a Licensed Clinical Social Worker practicing in Missouri, with 10 years of clinical experience.

Therapy style

Nicole aims to support and empower you throughout your journey.