About Fiona
Fiona Small is a counsellor with six years' experience helping people manage stress, anxiety and life changes. She works with individuals facing depression, anger, addiction and relationship or family tensions. Fiona also supports people dealing with trauma, grief, sleep and eating issues, ADHD, bipolar challenges and compassion fatigue.
She uses a blend of recognised approaches rather than one fixed method. Sessions focus on practical skills and on understanding patterns that get in the way of day-to-day life.
How Fiona works
Fiona pays attention to attachment, emotion regulation and how thoughts shape behaviour. Her style is warm and interactive. People can expect a respectful, low-pressure conversation where the counsellor listens and responds to what matters most to them.
Sessions are paced to suit each person’s readiness to talk and to change. Fiona draws on cognitive behavioural techniques to spot unhelpful thinking and build new coping skills. She also uses acceptance and commitment ideas to help people clarify values and take small, meaningful steps.
Attachment-based work helps when earlier relationship patterns affect how people feel and behave now. Her approach is practical and collaborative. The aim is to leave each session with something useful to try between meetings.
Fiona accepts international clients and holds the NCPS credential, which is recorded here as NCPS.
Fiona lists 13 ways of working on the entry:
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Hypnotherapy
- Mindfulness Therapy
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
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.
- Stress, Anxiety
- Anger management
- Self esteem
Also listed
- Abandonment
- Addictions
- ADHD
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Body image
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Dissociation
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- Grief
- Guilt and shame
- Isolation / loneliness
- Jealousy
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-harm
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | NCPS |
|---|---|
| Years in practice | 6 |
| 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
Acceptance and Commitment Therapy (ACT) helps people clarify what matters to them and take small actions in line with those values. It is often used for anxiety, depression and coping with life changes. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thoughts and testing them with real-life experiments to change feelings and behaviour. It is useful for stress, panic, low mood and sleep problems. Attachment-Based Therapy looks at early relationship patterns and how they influence current reactions and relationships, which can help with trust, anger and intimacy difficulties.Figuring out which approach fits best is part of the work. Fiona will collaborate with each person to choose or combine methods based on their goals, preferences and day-to-day reality. That means sessions can adapt as needs change and progress is tracked together.
Online therapy offers flexible options to suit different schedules and situations. Video calls allow face-to-face conversation and non-verbal cues, phone sessions work well when bandwidth is limited, live chat helps for shorter check-ins and text-based messaging supports ongoing reflection between meetings. These formats make it easier to fit therapy around work, family or travel and to continue support when in different locations.
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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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