Fiona Small, NCPS

Fiona Small is a counsellor with six years of experience based in the United Kingdom. She works with people facing stress, anxiety, depression and relationship challenges. Her practice also covers issues such as ADHD, addictions, grief and trauma-related difficulties.

Fiona uses a blend of well-established approaches to match what each person needs. She draws on Acceptance and Commitment Therapy, Cognitive Behavioural Therapy and Attachment-Based methods among others. Sessions aim to be calm and practical, focusing on what helps someone feel steadier day to day.

Her style is warm and respectful. She encourages people to speak openly about their experience and to set goals that matter to them. Conversations are collaborative and paced according to each person’s readiness.

Fiona has worked with people affected by emotional abuse and trauma, and with neurodiverse clients. That background shapes how she approaches distress, grounding conversations in safety and clarity while avoiding rushed expectations.

People come to her for help with sleep and eating difficulties, anger and mood problems, parenting strain and compassion fatigue. She also supports those dealing with abandonment, attachment issues, shame and isolation. The aim is to build practical coping skills and clearer thinking over time.

Therapy sessions are offered in English and can be arranged online by following the service's start process. Fiona uses the NCPS credential in her professional listing.

How Fiona’s approaches translate to online therapy

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts without being controlled by them, and supports choosing actions that match personal values. It can be useful for anxiety, depression and coping with life changes. Cognitive Behavioural Therapy (CBT) focuses on spotting patterns of thinking and behaviour that keep problems going and practising different ways of responding. It often helps with anxiety, mood and sleep problems. Attachment-Based Therapy looks at how early relationships shape expectations and emotional reactions, and helps people build more secure ways of relating to themselves and others.

Finding the right approach is part of the therapy itself. Fiona will discuss options and work together with each person to decide what fits their needs, goals and preferences. That collaborative process may combine elements from different methods as therapy progresses.

Online therapy offers flexibility in how people meet. Video calls allow face-to-face interaction and visual cues. Phone sessions can be a shorter check-in or suit lower bandwidth. Live chat and text messaging let someone check in between sessions and use written reflection when that feels easier. These options make it simpler to fit therapy around work, family and travel while keeping the focus on practical coping and steady progress.