Nicole Spahl

Experienced LPC offering relational, CBT-informed care

LPC Arizona

Experience: 27 years in practice
Focus areas: Stress, Anxiety, Trauma and abuse, Parenting
Approaches: Cognitive Behavioral Therapy (CBT), Attachment-Based Therapy
Languages: English

About Nicole

Nicole Spahl is a licensed professional counselor (LPC) practicing in Arizona with 27 years of clinical experience. She has spent her career helping people navigate stress, anxiety, depression, trauma, and life transitions while strengthening their relationships with themselves and others.

Background and approach

Nicole combines evidence-informed strategies with a relational focus to help clients find practical steps toward stability and growth. Her work blends cognitive behavioral ideas with attachment-informed and client-centered perspectives, and she also draws on skills from dialectical behavior therapy and emotionally-focused methods when appropriate.

Nicole approaches each person without judgment, tailoring support to individual needs and encouraging steady progress through difficult changes. She welcomes clients who are seeking help with mood disorders, parenting challenges, relationship struggles, identity-related concerns, grief, and a range of other challenges across the lifespan.

Nicole accepts English-speaking and international clients and offers multiple online formats to make therapy accessible. Prospective clients can begin by completing a short matching questionnaire and scheduling according to her availability through the Start Therapy process.

Approach-driven care available through online therapy

Nicole frequently integrates cognitive behavioral techniques and attachment-based ideas into her online work. Cognitive Behavioral Therapy (CBT) focuses on identifying and shifting unhelpful thinking patterns and behaviors to reduce symptoms like anxiety, panic, and mood disturbances. Attachment-Based Therapy pays attention to how early and current relationship patterns shape emotions and behaviors, making it useful for relationship challenges, attachment issues, and family of origin concerns.

Finding the right therapeutic approach is part of the clinical process and is decided collaboratively. She works with clients to assess needs, goals, and personal preferences, and then adapts methods from CBT, attachment approaches, or client-centered work so treatment fits each individual's situation.

Online sessions are offered via video calls, phone sessions, live chat, or text-based messaging to provide flexibility and accessibility for busy schedules or geographic distance. These options allow clients to maintain continuity of care while balancing work, family, and other commitments, and they support ongoing skill practice between sessions.

Frequently asked questions

What concerns does she commonly address?

Nicole works with a broad range of concerns including stress, anxiety, depression, trauma and abuse, parenting and relationship issues, LGBT concerns, bipolar mood challenges, ADHD, and self-esteem matters.

What is her therapeutic style and approach?

Her style is relationship-centered and collaborative, using client-centered techniques alongside cognitive behavioral strategies and other evidence-informed methods tailored to each person's needs.

How long has she been practicing?

She brings 27 years of professional counseling experience to her practice, having worked with clients across many life stages and concerns.

What credentials and location are listed?

She holds an LPC credential with the designation AZ LPC LPC-12344 and practices from Arizona.

Does she work with people who live outside the United States?

Yes, she accepts international clients and provides services in English for those located outside the U.S.

Which session formats are available?

Sessions can be scheduled as video calls, phone sessions, live chat, or text-based messaging to accommodate different preferences and schedules.

How are costs and payment handled?

Costs vary with location and therapist availability; sessions use a subscription that can be canceled at any time and pricing depends on those factors.

What are the first steps to begin working together?

To get started, select the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

Areas of expertise

Primary focus

Stress, Anxiety Trauma and abuseParenting issuesDepression

Also works with

LGBTRelationship issuesFamily conflictsAnger managementSelf esteemBipolar disorderCoping with life changes Compassion fatigue ADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesCommunication problemsDomestic violenceFamily of origin issuesFamily problemsIsolation / loneliness Mood disorders Panic disorder and panic attacksPostpartum depressionPost-traumatic stressPregnancy and childbirthSeasonal Affective Disorder (SAD)Self-loveSexual assault and abuseSocial anxiety and phobia

Therapeutic approaches

Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Mindfulness TherapyMotivational InterviewingPsychodynamic TherapyTrauma-Focused Therapy

Experience

27+ years

Licensed

Arizona

Languages

English