Fiona Small, NCPS

Fiona Small is a counsellor with six years of experience working with people through life’s hard moments. She combines several therapy approaches to match each person’s needs and makes space for practical, everyday change. Sessions focus on how thoughts and habits shape feelings and behaviour, and on small steps that can ease daily stress.

Her background includes supporting people with depression, anxiety, parenting difficulties, relationship issues and neurodiversity. She also has experience helping those affected by trauma and emotional abuse and has worked with concerns such as obsessive thinking and complex post-traumatic stress. Fiona’s practice addresses a wide range of issues including sleep, eating, addiction, bipolar and grief.

Fiona uses a blend of approaches rather than one single method. She draws on cognitive-behavioural techniques to spot and shift unhelpful thinking. Attachment-based ideas help look at relationship patterns and how past bonds affect current trust and closeness.

Her style is warm and interactive. She aims to be respectful and compassionate while encouraging practical steps clients can try between sessions. The focus is on what people can do day to day to feel steadier and more in control.

People can expect straightforward conversation about goals and small, achievable exercises to change habits. Fiona works collaboratively, helping clients set realistic aims and reviewing progress together.

How her approaches translate to online therapy

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without being driven by them, and then commit to actions that match their values. It can help with chronic stress, anxiety and problems that keep repeating. Cognitive Behavioral Therapy (CBT) looks at the link between thoughts, feelings and behaviours and gives simple tools to test and change unhelpful thinking patterns and routines. This can be useful for anxiety, low mood and sleep or eating difficulties. Attachment-Based Therapy focuses on patterns in relationships and how early bonds shape current ways of connecting; it can help with trust, communication and relationship fears.

Finding the right approach is part of the work. The therapist will listen to your situation, discuss options and decide together what to try first. That might mean using one approach mainly, or combining techniques from several models to suit your goals and preferences.

The original profile does not specify which online session formats are offered, so please confirm the available options before booking. Online counselling can make it easier to fit sessions into busy lives, cut travel time and keep appointments during work or family commitments. Some options require less bandwidth and can be good for shorter check-ins, while others let you use video for a fuller conversational feel. Registered or accredited professionals can adapt tools and short exercises so they work well in remote sessions.