Fiona Small, NCPS

Fiona Small is a counsellor with six years' experience who blends several therapeutic approaches to suit each person's needs. She works with people facing stress, anxiety, low self-esteem, mood problems and addiction, and supports those dealing with trauma, relationship strain and parenting pressures. Fiona practises in the United Kingdom and meets with people in English, including clients from other countries.

Her background includes work with people who have lived through emotional abuse and complex trauma. That experience informs a gentle, respectful style in sessions. Fiona draws on cognitive behavioural ideas and acceptance-based strategies to help people manage difficult thoughts and feelings.

She also uses client-centred ways of working, which means listening closely and tailoring sessions to what each person needs. Dialectical behaviour techniques can be offered where stronger emotion regulation skills are useful. Attachment-based ideas help when relational patterns and past connections affect day-to-day life.

Fiona aims for a warm, interactive approach. Sessions are practical and focused on the next small steps a person can take. People who prefer a collaborative, down-to-earth counsellor may find her style helpful.

Costs vary by location and are delivered through a subscription model that can be cancelled at any time. To begin, use the Start Therapy button, complete a short matching questionnaire, and then schedule according to the therapist's availability.

Approaches that guide online sessions

Acceptance and Commitment Therapy, or ACT, helps people notice painful thoughts without being led by them and then choose actions that match their values; it is often helpful for anxiety, low mood and life transitions. Cognitive Behavioural Therapy, CBT, focuses on identifying unhelpful thinking patterns and trying out practical changes in behaviour to reduce symptoms such as worry, insomnia and low mood. Attachment-Based Therapy looks at patterns from past relationships and how they affect current behaviour and emotions, which can be useful for people struggling with relationship difficulties and feelings of abandonment.

Choosing the right approach is a collaborative process. The therapist will work with each person to identify which methods fit their goals and preferences, and will adapt the plan as progress is made. People can expect a mix of listening, reflection and practical exercises tailored to their needs.

The original biography did not specify which online session formats are used, so please confirm current options before booking. Online work can make it easier to fit counselling into a busy week, shorten travel time and allow for shorter check-ins when that suits a schedule. It can also let someone use methods such as guided exercises, thought records and behavioural experiments between sessions to support progress.