FS Portrait of Fiona Small

Fiona Small, NCPS

Practical, warm counselling for anxiety and stress

6 years in practice · based in United Kingdom · sessions in English · online sessions

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About Fiona

Fiona Small is a counsellor with six years' experience supporting people through stress, anxiety and other life difficulties. She works in the United Kingdom and uses a blend of practical talking therapies to help people find clearer thinking and calmer responses. Her approach is warm and respectful, aimed at making it easier to talk about painful or confusing experiences.

She draws on a mixture of cognitive and person-centred methods to tailor sessions to each person's needs.

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Background and approach

That means working on thought patterns, building coping skills and attending to emotional wounds. Fiona pays particular attention to attachment difficulties and to the impact of trauma or abuse on everyday life. Sessions often focus on concrete steps people can use between meetings.

Fiona uses exercises to manage mood, reduce anxiety and improve sleep. She also supports people facing addiction, grief, relationship strain, parenting stress and the challenges of neurodiversity. Her style is interactive but grounded, holding space for strong feelings while helping people move towards practical change.

Conversations are collaborative and paced to suit the person in front of her. She aims to make therapy feel manageable rather than overwhelming. Fiona holds NCPS as her listed credential.

She offers online and telephone options for sessions, and works with people from different countries who can meet in English. To begin, people complete a short matching questionnaire and then schedule sessions according to availability.

How Fiona's approaches translate to online therapy

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without fighting them, then choose actions that match their values. It can be useful for anxiety, low mood and coping with major life changes. Cognitive Behavioral Therapy (CBT) focuses on spotting unhelpful thinking patterns and practising different responses. That method often targets worry, sleep problems and mood regulation with clear, homework-style exercises. Attachment-Based Therapy looks at how early relationships shape current patterns and helps people form more supported ways of relating and handling emotions.

Choosing the right approach is part of the work. Fiona discusses options with each person and adapts the methods to fit their needs, goals and preferences. The process is collaborative - she helps decide what feels most helpful and reviews progress together as therapy continues.

Online sessions can be very flexible. Video calls recreate a face-to-face conversation, phone sessions can be shorter or easier when bandwidth is limited, live chat offers a typed back-and-forth for quicker check-ins, and text-based messaging supports ongoing reflection between meetings. These formats make it easier to fit therapy around work, family and travel, and let people try different ways of meeting until they find what works best.
Book with Fiona Now Review online therapy options and next steps.

Questions people ask

What issues does Fiona help with?
She supports people with stress, anxiety, depression and mood disorders, plus concerns such as addiction, grief, trauma and problems with sleep or eating.
How would she work with someone feeling anxious?
Fiona blends talking therapies to reduce worry and build coping skills, using practical exercises and thought-focused work to ease day-to-day anxiety.
What background does she bring to therapy?
She has six years of clinical experience working with trauma, neurodiversity and emotional difficulties and uses a mixed-methods approach adapted to each person.
Where is Fiona based and how is she credentialed?
She practices from the United Kingdom and lists NCPS as her credential.
Which languages are available for sessions?
Sessions are offered in English, and she accepts international clients who can meet in that language.
What session formats does she offer?
People can meet by video calls, phone sessions, live chat or text-based messaging depending on what suits them best.
How are sessions paid for?
Sessions use a subscription model that can be cancelled at any time; specific cost varies with location and therapist availability.
How do I begin working with her?
Start by selecting the Start Therapy button, complete a short matching questionnaire, and then schedule sessions according to the therapist's availability.

What this therapist works with

Most often

Experience
6 years
Licensed
Languages
English

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