About Nicola
Nicola Fiveash is an integrative counsellor practising in the United Kingdom with five years' experience. She supports people through grief, trauma and abuse, and major life changes. Nicola works with anxiety, stress, low mood, addiction and neurodivergent experiences.
She creates a calm, non-judgemental space for people to be heard. Nicola draws on several therapy approaches to match each person's needs rather than using one fixed method. She uses client-centred techniques to let people explore feelings at their own pace.
How Nicola works
Cognitive behavioural ideas help spot and change unhelpful thought patterns and behaviours. Attachment-based work is used to look at how early relationships affect current connection and trust. Dialectical behaviour ideas and Acceptance and Commitment Therapy support emotional regulation and moving towards valued living.
Nicola describes therapy as a collaborative process where the client sets goals and the counsellor offers tools and support. Her practice is trauma-informed and affirms neurodiversity, with attention to safety, autonomy and respect for different ways of experiencing the world. Sessions focus on practical steps and gentle reflection rather than labels.
Nicola invites people to bring whatever they are feeling and to work at a pace that feels manageable. People who come for help might be facing relationship strain, parenting pressures, career crossroads, or chronic health challenges. Nicola also addresses concerns such as body image, caregiving stress, sleep problems, and low self-esteem.
She aims to help people build resilience and clearer choices over time.
Nicola lists 18 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)
- Existential Therapy
- Hypnotherapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
What Nicola works with
The areas below are the ones Nicola selected when setting up a profile. The first few are listed as the main focus; the rest are also named.
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Training and background
| Register | NCPS |
|---|---|
| Years in practice | 5 |
| 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
Therapeutic approaches and online support
Nicola commonly uses Acceptance and Commitment Therapy and Cognitive Behavioural Therapy in her online work. Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings and focus on actions that matter to them, which can help with anxiety, depression and coping with life changes. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviours and offers practical steps to shift unhelpful patterns, useful for anxiety, low mood and sleep issues.She also draws on attachment-based ideas to explore how early relationship patterns affect current connections and emotional responses. Deciding which approach to use is a shared process. Nicola will talk through goals, preferences and what feels doable, then adapt techniques over time so work stays relevant and collaborative.
Online therapy with video calls, phone sessions, live chat or text-based messaging gives flexibility around work and family life. Video suits fuller conversations when seeing facial cues helps, phone calls can be easier when bandwidth is limited, and messaging or live chat can fit short check-ins or times when typing feels simpler. These options make it possible to keep continuity of sessions, try different formats, and fit therapy into a busy routine.
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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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