Fiona Small, NCPS

Fiona Small is a counsellor based in the United Kingdom with three years of professional experience. She supports people facing stress, anxiety, depression and relationship difficulties. Fiona aims to make the initial step into therapy easier by offering calm, steady support.

She creates a warm space where clients can talk about difficult thoughts and feelings without judgment. Sessions focus on practical steps as well as understanding what sits behind a problem. Fiona adapts her style to each person rather than using a fixed formula.

Her work covers trauma and abuse, grief and compassion fatigue, and struggles with self-esteem and confidence. Fiona also helps people who are wrestling with life changes, isolation or feelings of emptiness. She pays attention to attachment concerns and communication problems that often underlie repeated patterns.

Additionally, Fiona has experience supporting people with autism and Asperger syndrome, blended family issues, body image worries and control issues. Other areas she addresses include domestic violence, infidelity, guilt and shame, and questions about life purpose.

Fiona uses a mix of approaches chosen to fit the person and the issue. That can include client-centred techniques, cognitive behavioural tools, mindfulness work, hypnotherapy and motivational interviewing. Her practical focus is on small, achievable changes that build confidence and improve day-to-day coping.

Approaches that translate well to online therapy

Client-Centred Therapy focuses on listening, empathy and helping a person find their own solutions. It is useful for people who need a steady, accepting space to talk through feelings and make sense of what matters to them. Cognitive Behavioural Therapy, or CBT, looks at the links between thoughts, feelings and actions and uses practical exercises to change unhelpful patterns; it can help with anxiety, low mood and stress.

Finding the right approach is part of the work. The counsellor will discuss goals and preferences and together decide which methods to try first. That collaborative process means approaches can be mixed or changed over time to match what helps most.

Online formats include video calls, phone sessions, live chat and text-based messaging, giving flexibility for different needs. Video is often best for fuller conversation and non-verbal cues, while phone sessions use less bandwidth and can be easier to fit into a working day. Messaging and live chat can suit quick check-ins, written reflection or ongoing support between longer sessions. These options make it easier to keep continuity of care and to fit therapy around work, family and other commitments.