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Nicole Decher

Nicole Decher, LCSW

Therapist · Missouri · 10+ years of experience

Compassionate therapy for life transitions

Continue with Nicole

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At a glance

Listed location
Missouri
Experience
10+ years
Credentials
LCSW
Languages
English
License (Missouri)
LCSW · No. 2021021591
NPI
1801340609

Copied as listed by the therapist. You can check a license with the state board and an NPI with the national registry.

  • Stress and anxiety
  • Grief and loss
  • Aging concerns

About Nicole

Nicole Decher is a Licensed Clinical Social Worker (LCSW) who helps people facing depression, anxiety, grief, trauma, and stress. She supports those navigating serious illness, end-of-life concerns, addiction, and caregiving strain. Nicole also works with people dealing with relationship and intimacy issues, parenting stress, ADHD, and aging and geriatric issues.

Her style is direct and compassionate. Sessions are conversational and interactive rather than strictly didactic. Nicole listens closely, offers clear feedback, and collaborates with clients to set practical goals they can try between visits.

Nicole draws on cognitive behavioral tools and mindfulness to address unhelpful thinking and build day-to-day skills. She pairs those methods with client-centered care, meaning the session pace and focus follow what matters most to the person in the room. For trauma-related concerns she uses trauma-focused approaches to reduce symptoms and increase coping options.

With ten years of experience, Nicole has supported people through serious medical diagnoses, hospice and end-of-life planning, adoption and foster care questions, and the stresses of caregiving. That background informs a calm, steady approach when conversations become hard.

People who choose Nicole can expect practical strategies, straightforward talk, and an empathic presence. She aims to help clients clarify priorities, reduce overwhelm, and find more manageable ways to move forward.

Areas of expertise

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

Credentials

Missouri

Languages

English

How Nicole Uses Therapeutic Methods Online

Nicole blends Acceptance and Commitment Therapy and Cognitive Behavioral Therapy in straightforward ways. ACT focuses on helping people clarify their values and take small steps toward them even when hard feelings show up. Cognitive Behavioral Therapy helps identify unhelpful thoughts and build practical skills to change behaviors and reduce distress.

She also uses client-centered and mindfulness approaches to keep sessions grounded in what matters to the individual. Mindfulness practices are short and practical, teaching ways to notice stress and respond rather than react. The therapist will work together with the client to choose which methods fit best for their goals and personality.

Finding the right approach is a collaborative process. Nicole will ask about your needs, preferences, and what you hope to change, then try methods that match those goals. If something does not feel like a good fit, she will adjust the plan with you.

If you are considering online work, confirm the current session options before booking. Online therapy can make it easier to fit sessions into a busy schedule, reduce travel time, and help people keep consistency during life transitions. Ask about formats when you sign up so you can pick the setup that best fits your day-to-day life.

Frequently asked questions

What concerns does Nicole address?

She works with issues such as stress, anxiety, depression, trauma and abuse, grief, addictions, relationship and intimacy problems, parenting and caregiving strain, ADHD, and aging and geriatric issues.

What is her therapeutic style like?

Nicole uses an interactive and empathetic style. Sessions are client-centered and focus on clear, practical steps you can use between meetings.

How much clinical experience does she have?

She has ten years of experience working as a therapist and life coach with people facing medical, grief, trauma, and mood-related concerns.

What are her credentials and where is she based?

She holds an LCSW, listed as MO LCSW, and practices in Missouri.

Which languages are offered?

Sessions are offered in English.

Can international clients work with her?

She does not accept international clients at this time.

How are fees and payment handled?

Cost varies with location and therapist availability, and sessions use a subscription that can be canceled at any time.

How do I begin working with Nicole?

Choose the Start Therapy button, complete a short matching questionnaire, and schedule based on the therapist's availability.

Nicole DecherContinue with Nicole