Susan "Sue" Small, BACP

Susan "Sue" Small is a counsellor based in the United Kingdom with six years of professional experience. She holds BACP accreditation, which recognises her membership of the British Association for Counselling and Psychotherapy. Sue speaks English and offers approachable, straightforward support to people facing difficult times.

Sue works with stress and anxiety, depression and grief, and the fallout from major life changes. She also helps people with self-esteem, motivation and a wide range of relationship and family concerns. Her practice includes support around addiction, bipolar and eating issues among other challenges.

Sue uses a person-centred style that treats the individual as the expert on their own life. She aims to listen carefully and reflect back what people need to make clear choices. This gives space to build confidence and practical ways to cope day to day.

She also draws on solution-focused methods to help people set small, achievable goals. Those techniques are used alongside trauma-focused approaches when past hurts are part of what’s causing trouble now. The mix is chosen to suit each person’s needs and goals.

Sue is neuro-affirming and has experience supporting people with ADHD and autism. Her approach is collaborative and down-to-earth, aimed at helping people find realistic changes they can keep doing. For many, the work centres on clearer communication, better routines and stronger coping skills.

How therapeutic approaches work online

Sue uses person-centred work to focus on what matters most to the individual. This approach involves open listening and reflecting so people can make choices that fit their lives; it is helpful for anxiety, low mood and self-esteem issues.

She also uses solution-focused techniques to set small, practical goals. These short-term steps help people build momentum and test changes between sessions. Trauma-focused therapy is used when past experiences are causing ongoing distress and needs a careful, paced approach to process difficult memories.

Choosing the best approach is a joint process. Sue will talk with each person about their needs, goals and preferences and then agree which methods to try first. That collaborative decision can change as the work progresses so the plan stays relevant.

Online therapy offers practical benefits through video calls, phone sessions, live chat and text-based messaging. Video is useful for face-to-face conversation and non-verbal cues. Phone sessions use less bandwidth and can be easier to fit into a work break. Live chat or messaging work well for short check-ins, notes between sessions or when someone prefers written conversation. These options make regular contact easier for many people.