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Nicole Spahl

Therapist profile

Nicole Spahl, LPC

Arizona

Licensed Professional Counselor - Family and parenting concerns

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About

  • Attachment focus
  • CBT techniques
  • Emotion regulation

About Nicole

Nicole Spahl is a Licensed Professional Counselor (LPC) in Arizona with 27 years of clinical experience. She works with adults who are dealing with stress, anxiety, trauma and abuse, parenting concerns, depression, relationship and family issues, ADHD, and related mood or adjustment difficulties. Her practice also addresses areas such as postpartum depression, attachment concerns, and the challenges that come with adoption and foster care.

She frames therapy around relationships and attachment, and uses a blend of practical techniques drawn from cognitive behavioral approaches, emotionally-focused work, dialectical behavior ideas, and client-centered care. Sessions are conversational and focused on real-life problems. Nicole helps people notice unhelpful patterns and learn concrete ways to respond differently.

Nicole pays attention to how early relationships affect current reactions and connections. She uses that understanding to help people improve communication and reduce conflict within family roles. She also offers tools for managing panic, mood swings, and the stress of parenting or caregiving.

Her style is straightforward and steady. Clients can expect direct work on skills such as emotion regulation, communication strategies, and thought restructuring. Therapy blends insight about relationship patterns with practical skills for day-to-day coping.

Over a long career she has supported people through grief, transitions, and complex histories like domestic violence and abandonment. She assists adults who want clearer boundaries, more stable moods, and better ways of handling parenting challenges and family tensions.

How sessions work

How attachment work and CBT fit into online sessions

Nicole commonly uses attachment-based ideas and cognitive behavioral therapy in her work. Attachment-based work looks at how early relationships shape expectations and reactions, and helps people notice patterns that affect current relationships. This can be useful for adults dealing with caregiving strains, family conflict, or troubles connecting after loss. Cognitive behavioral therapy (CBT) focuses on identifying unhelpful thoughts and testing them against real-world evidence. CBT provides step-by-step tools for anxiety, panic, mood shifts, and parenting stress.

Choosing an approach is collaborative. She will discuss goals and preferences, then try methods that match your situation. That may mean focusing on relationship patterns at first, then shifting to skills practice, or mixing both throughout care. The therapist and client decide together which tools to keep using based on how helpful they feel.

Session formats are not specified in the biography, so confirm current options before booking. In general, online work can make it easier to fit therapy into a busy life - shorter check-ins can slot into a lunch break, phone sessions use less bandwidth when video is difficult, and virtual sessions remove commute time. Licensed professionals adapt pacing and exercises so skills can be practiced between meetings and applied at home.

Areas of focus

Areas of expertise

Primary focus

Also works with

LGBTRelationship issuesFamily conflictsAnger managementSelf esteemBipolar disorderCoping with life changesCompassion fatigueADHD

Additional focus areas

AbandonmentAdoption and foster careAttachment issuesCommunication problemsDomestic violenceFamily of origin issuesFamily problemsIsolation / lonelinessMood disordersPanic 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

Listed in

Arizona

Languages

English

Questions

Frequently asked questions

What kinds of problems does she help with?

She works with stress, anxiety, trauma and abuse, parenting concerns, depression, relationship and family issues, ADHD, bipolar and related mood concerns.

What is her therapy style like?

Her style blends relationship-focused work with practical skill building. Sessions mix talking about relationship patterns with exercises for emotion regulation and communication.

How much experience does she have?

She has 27 years of clinical experience working with adults across a wide range of concerns.

What are her credentials and where is she based?

She is a Licensed Professional Counselor (LPC) licensed in Arizona.

Does she offer sessions in other languages?

Sessions are offered in English.

Can people outside the U.S. work with her?

She accepts international clients. Confirm any cross-border details when scheduling.

How are fees handled?

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

How do I start a first session?

Select the See online therapy options button, complete a short matching questionnaire, and schedule your 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 anyone is in danger, use the crisis numbers.

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Nicole Spahl

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