Fiona Small, NCPS

Fiona Small is a counsellor with six years' experience who blends several therapeutic models to suit each person she meets. She works with people facing stress, anxiety, depression, relationship difficulties and parenting strain. Fiona also helps with ADHD, addictions, grief, sleep and eating problems, and the emotional impact of trauma and abuse.

Her background includes work with people affected by complex trauma and emotional abuse. That experience shaped her approach and informs how she supports people through painful memories and difficult emotions. She uses a range of methods rather than a single formula so sessions are tailored to what each person needs.

In session she aims to be warm and interactive. Fiona emphasises respect, sensitivity and compassion and encourages honest, straightforward conversation. She mixes cognitive and humanistic ideas to help people notice patterns, learn new skills and try different ways of responding.

She also draws on acceptance-focused work and attachment ideas when relationships or shame are involved. Practical tools for coping are offered alongside space to make sense of painful experiences. The overall goal is to help people build steadier everyday routines and clearer choices.

Fiona works from the United Kingdom and is registered with NCPS, which appears as NCPS. Sessions are carried out in English. To begin, a short matching questionnaire is completed and sessions are scheduled to fit the client's circumstances.

How Fiona’s approaches translate to online work

Acceptance and Commitment Therapy, or ACT, helps people notice unhelpful thoughts and choose actions that match their values. It can be useful for anxiety, low mood and coping with life changes. Cognitive Behavioural Therapy, known as CBT, focuses on spotting thinking patterns and trying practical techniques to change feelings and behaviours. It often includes simple exercises to practise between sessions. Attachment-Based Therapy looks at how early relationships shape current connection styles and can help when jealousy, abandonment or trust issues are causing strain.

Finding the best approach is part of the work together. The therapist will discuss the options and decide with the client what feels most useful. This is collaborative and can change as needs and goals evolve.

The biography does not list which online formats are used, so please confirm current session options before booking. Online work can make it easier to fit therapy around everyday life, for example by reducing travel time, allowing shorter check-ins during a break, or letting someone join a session without needing to be on camera. Therapists and registered or accredited professionals adapt exercises, homework and pacing to suit remote sessions so progress can continue even when meetings are not face to face.