Nicole Decher, LCSW
Licensed in Missouri · 10 years in practice
Nicole Decher is a Licensed Clinical Social Worker (LCSW) who helps people manage stress, anxiety, depression, grief, and trauma.
License and registration
- LCSW, Missouri
- 2021021591 · expires September 2026
- NPI
- 1801340609 · national provider identifier
- Years in practice
- 10
- Languages
- English
Details are as listed on the therapist's public professional profile. You can check any license with the state board and any NPI with the national registry.
About Nicole
Nicole Decher is a Licensed Clinical Social Worker (LCSW) who helps people manage stress, anxiety, depression, grief, and trauma. She also supports people facing medical or end-of-life challenges, parenting strain, relationship and intimacy issues, and concerns like addiction and ADHD. Nicole blends practical skills with a compassionate, nonjudgmental approach.
Sessions focus on problem solving and building tools that fit daily life. Nicole uses short-term and longer-term strategies to meet each person's needs.
Background and approach
She draws on Cognitive Behavioral Therapy to spot thinking patterns that feed anxiety and low mood. Mindfulness techniques help with stress, sleep, and staying present. Acceptance and Commitment Therapy supports people learning to live with difficult feelings while moving toward values-based goals.
Her style is interactive and person-centered. Conversations are respectful and paced to the person’s comfort. Nicole works to make therapy a collaborative effort where clients set the direction and she offers structured options and feedback.
Nicole has ten years of experience working with a wide range of concerns, including chronic illness, hospice and end-of-life counseling, adoption and foster care matters, and compassion fatigue among helping professionals. That background informs her ability to hold difficult topics alongside life transitions. She practices in Missouri and conducts sessions in English.
Therapy sessions can include skills practice, guided reflection, and planning for concrete next steps. The overall aim is to strengthen coping skills and support meaningful change.
Focus areas and approaches
Everything Nicole lists on their public professional profile, in their own terms.
- Stress, Anxiety
- Trauma and abuse
- Grief
- Depression
- Addictions
- LGBT
- Relationship issues
- Family conflicts
- Intimacy-related issues
- Eating disorders
- Sleeping disorders
- Parenting issues
- Anger management
- Self esteem
- Career difficulties
- Bipolar disorder
- Coping with life changes
- Coaching
- Compassion fatigue
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Cancer
- Chronic pain, illness, and disability
- Communication problems
- Disruptive Mood Dysregulation Disorder (DMDD)
- First responder issues
- Hospice and end-of-life counseling
- Life purpose
- Mood disorders
- Postpartum depression
- Pregnancy and childbirth
- Self-harm
- Self-love
- Social anxiety and phobia
Approaches Nicole names
- Acceptance and Commitment Therapy (ACT)
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Mindfulness Therapy
- Trauma-Focused Therapy
Naming an approach is not evidence of training in it. This directory copies what each therapist lists and does not check training records.
Online support
How these approaches translate to online care
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small steps toward those values while accepting hard feelings. Online ACT sessions often include values exercises, behavioral experiments, and homework to practice between appointments. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them through real-world actions to change mood and behavior. In virtual CBT, clients work through thought records, activity scheduling, and specific behavior change plans with therapist guidance.Finding the right approach is part of the work. Nicole will collaborate with each person to choose methods that match their goals and preferences. That might mean blending ACT and CBT with mindfulness practices or focusing on trauma-informed techniques if past experiences are central to the issue. The plan is reviewed and adjusted as progress unfolds so treatment stays relevant.
Online formats here include video calls, phone sessions, live chat, and text-based messaging. Video lets people use visual cues and practice skills in real time. Phone sessions can be easier when bandwidth is low or when someone prefers not to be on camera. Live chat and text are useful for brief check-ins, skill reminders, or when scheduling frequent but shorter contacts. These options offer flexibility so therapy can fit work, caregiving, or medical appointments while keeping therapeutic continuity.
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Questions people ask
What concerns does Nicole help with?
Nicole supports people facing stress, anxiety, depression, trauma, grief, addictions, relationship and intimacy issues, parenting strain, ADHD, and related mood or life-change challenges.
How would you describe her therapy style?
Her style is interactive and person-centered, combining empathy with concrete skill building. Sessions focus on practical tools and reflective conversation tailored to each person's needs.
What kind of background does she bring to sessions?
She has ten years of clinical experience working with people dealing with chronic illness, hospice and end-of-life concerns, trauma and abuse, and grief alongside common mental health issues.
What credentials and location are listed?
She is a Licensed Clinical Social Worker, LCSW, licensed in Missouri and practices there.
In which languages are sessions offered?
Sessions are offered in English.
What session formats are available?
Nicole provides video calls, phone sessions, live chat, and text-based messaging to suit different preferences and schedules.
How are sessions paid for and what does it cost?
Costs vary with location and therapist availability; sessions use a subscription model that can be canceled at any time.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions based on therapist availability.
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