Nicola Fiveash, NCPS

Nicola Fiveash is a counsellor based in the United Kingdom with five years of clinical experience. She holds NCPS and offers thoughtful, person-focused support for people dealing with stress, anxiety, trauma, grief and big life changes. Nicola aims to make early sessions straightforward and grounded so people feel understood from the start.

She uses a blend of approaches rather than one fixed method. That means sessions may draw on Acceptance and Commitment Therapy, Cognitive Behavioral Therapy, Dialectical Behaviour Therapy, Attachment-Based work and client-centred listening. Nicola adapts what she offers to the issues someone brings and their personal preferences.

Nicola’s work often focuses on emotional distress such as low mood, anxiety and the effects of past hurt. She also supports people with ADHD, addictions, sleep and eating concerns, self-esteem and career pressures. Additional areas of attention include adoption and foster-care matters, caregiver stress, chronic illness and body image concerns.

Her style is collaborative and non-judgemental. Nicola aims to help people notice unhelpful thought and behaviour patterns, try small practical changes and build steadier ways of coping. Sessions move at a pace set by the individual and respect their autonomy.

Practical formats include video calls, phone sessions, live chat and text-based messaging. Sessions are provided in English and are arranged through a subscription model that can be cancelled at any time. To begin, a short questionnaire helps match people and then appointments are scheduled according to availability.

Approaches that suit online therapy

Acceptance and Commitment Therapy, or ACT, focuses on helping people notice what matters to them and take small committed steps towards those values. It can be useful for anxiety, depression and coping with life changes. Client-Centred Therapy puts the person’s experience at the centre of the session and relies on listening, empathy and acceptance to help someone make sense of their feelings. Cognitive Behavioural Therapy, or CBT, looks at the links between thoughts, feelings and actions and offers practical techniques to reduce unhelpful thinking and behaviours.

Choosing the right approach is a collaborative process. Nicola will work with each person to try different ideas and see what fits their needs and goals. She aims to adapt methods over time so therapy stays relevant and useful rather than fixed in one style.

Online therapy supports the same kinds of work as in-person sessions while offering practical benefits. Video calls let people use visual cues and keep a regular rhythm of sessions. Phone sessions can be a good option when bandwidth is limited or a quieter check-in is needed. Live chat and text-based messaging suit shorter updates, day-to-day coaching and people who prefer written reflection. These options make it easier to fit sessions around work, travel and family commitments while keeping therapy accessible.