Fiona Small

Fiona Small, NCPS, brings six years of counselling experience to her practice in the United Kingdom. She writes simply and directly with people who are feeling overwhelmed by stress, anxiety, anger, low self-esteem or depression. Fiona aims to make the first steps less daunting and to help clients find clearer ways forward.

She uses an integrative style that borrows from several familiar approaches such as cognitive behavioural work and client-centred listening. Sessions are described as warm and interactive, with an emphasis on respect and compassion. Fiona pays particular attention to people recovering from trauma and emotional abuse and to those navigating neurodiversity-related challenges.

In practice she blends practical skills with reflective discussion. That might mean learning small coping strategies one week and talking through deeper relationship or attachment themes the next. The work is paced to each person, with room for learning and testing new ways of responding to anger and stress.

Fiona also supports people dealing with grief, addictive patterns, sleep or eating difficulties, parenting pressures, mood changes and the knock-on effects of trauma. She accepts international clients and offers sessions in English. Her registration is listed as NCPS.

To begin, clients use the Start Therapy button and complete a short matching questionnaire. Scheduling is then arranged according to the therapist’s availability and the subscription model in use.

How Fiona’s approaches can work online

Acceptance and Commitment Therapy, or ACT, focuses on helping people notice unhelpful thoughts and commit to actions that match their values. It is useful for anxiety, anger and adjusting to life changes. Cognitive Behavioural Therapy, CBT, looks at how thoughts, feelings and behaviours link together and teaches practical techniques to change unhelpful patterns. It is often used for anxiety, depression and stress management. Attachment-Based Therapy explores how early relationship patterns affect current connections and emotional responses, helping people who struggle with trust, abandonment worries or relationship distress.

Choosing the right approach is a collaborative process. The therapist will talk with the person about their needs, goals and what feels manageable. Together they decide which methods to try and adapt the work as progress is made.

The original biography does not list specific online or in-person formats, so please confirm available session options before booking. Online therapy can make it easier to fit sessions into a busy week, reduce travel time and allow shorter check-ins when needed. It also lets people join from different locations if international access is required. Registered or accredited professionals use these methods to help clients practise skills between sessions and apply them in everyday life.