About Fiona
Fiona Small is a counsellor practising in the United Kingdom with three years of professional experience. She supports people who are dealing with stress, anxiety, depression and relationship concerns. Fiona aims to make taking the first step easier by offering steady, non-judgemental support.
She creates a calm space where clients can talk about difficult thoughts and feelings. Conversations are straightforward and focused on what matters to the person in front of her.
How Fiona works
Fiona listens closely and helps clients find practical ways to cope with day-to-day strain. Fiona uses a blend of approaches to match each person's needs. She draws on client-centred principles to keep sessions driven by the client's agenda.
She also uses cognitive behavioural techniques to spot unhelpful thinking patterns and try new responses. For people struggling with low motivation or hard decisions, Fiona can bring motivational interviewing techniques to the conversation. She also includes mindfulness practices and hypnotherapy where they fit with a client’s goals.
Together these tools can help with trauma, grief, self-esteem and life changes. Her style is collaborative and down-to-earth. She helps people set clear, achievable steps and checks in on progress.
Fiona aims to make therapy understandable and practical, so clients leave with real ways to cope and move forward.
Fiona lists 8 ways of working on the entry:
What Fiona works with
The areas below are the ones Fiona selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Attachment issues
- Autism and Asperger Syndrome
- Blended family issues
- Body image
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Depression
- Domestic violence
- Emptiness
- Forgiveness
- Guilt and shame
- Hospice and end-of-life counseling
- Infidelity
- Isolation / loneliness
- Jealousy
- Life purpose
- Multicultural concerns
- Narcissism
- Panic disorder and panic attacks
- Post-traumatic stress
- Pregnancy and childbirth
- Prejudice and discrimination
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Social anxiety and phobia
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | NCPS |
|---|---|
| Years in practice | 3 |
| Languages | English |
| Session format | Online: video, phone, live chat or messaging |
| Country | United Kingdom |
Memberships and registers are shown as supplied; they are not licences, and this directory does not verify them.
Online support options
How Fiona’s approaches work online
Fiona uses client-centred work to keep sessions focused on what the person wants to address. That means she follows the client’s lead, reflects back what she hears and helps the person set their own priorities. This approach works well for people who want a supportive space to talk things through.She also draws on cognitive behavioural therapy, which looks at how thoughts, feelings and actions link together. In practical terms this can mean identifying unhelpful thoughts, testing them and trying new behaviours to see what changes. CBT is often helpful for anxiety, low mood and coping with life transitions.
Finding the right approach is part of the therapeutic process. Fiona will discuss options and decide together which methods suit the client’s goals, needs and preferences. That collaborative planning helps tailor sessions to what actually helps the person move forward.
Online work is offered via video calls, phone sessions, live chat and text-based messaging to fit different schedules and styles. Video is useful for longer, face-to-face conversations while phone calls need less bandwidth and can fit into a short break. Live chat or messaging can be useful for brief check-ins or when someone prefers written reflection. These formats make it easier to access therapy from different places and at times that suit busy lives.
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Common questions
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A practical next step
Write down two things you would want to be different in six months. That is the most useful thing to bring to a first session, whoever it is with. If you would rather start now than keep reading, online sessions are the quickest route.
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