About Nicola
Nicola Fiveash is a counsellor based in the United Kingdom with five years of experience. She supports people facing anxiety, stress, grief, trauma and the challenges of life change. Nicola also works with clients who identify as neurodivergent and those coping with mood, relationship or career concerns.
She uses an integrative way of working, drawing on different therapies to fit each person's needs. Nicola offers person-centred (client‑centred) work that gives people space to talk without judgement.
Background and approach
She also uses cognitive behavioural methods to look at thoughts and behaviours and attachment-informed ideas to understand relationship patterns. Sessions are collaborative and paced to suit the individual. Nicola aims to make therapy feel practical and understandable, helping people notice small changes that can make day-to-day life easier.
She prioritises respect for autonomy and the varied ways people make sense of their experiences. Her practice is trauma-informed and neurodiversity-affirming, with a focus on creating a calm environment for difficult material. Nicola is interested in issues such as ADHD, addictions, eating and sleeping difficulties, parenting strain and compassion fatigue.
People often come with complex, overlapping problems and Nicola supports work on co-morbidity, codependency and attachment wounds. She emphasises empathy, warmth and listening as the start of change. Nicola believes clients already hold strengths that therapy can help bring into clearer view.
Therapeutic approaches and online delivery
Nicola commonly draws on Acceptance and Commitment Therapy (ACT) and Cognitive Behavioural Therapy (CBT) in her online practice. ACT focuses on helping people notice unhelpful thought patterns and reconnect with their values so they can take meaningful action despite difficult feelings. CBT looks at the links between thoughts, feelings and behaviours and helps people test and change unhelpful thinking in practical ways.Finding the right approach is part of the therapy process. Nicola works collaboratively to find techniques and ways of working that match a person’s goals, preferences and life circumstances. She will adapt tools from different approaches as the work develops so the plan stays useful and relevant.
Online therapy offers practical flexibility. Video calls allow face-to-face conversation when a longer session is helpful, phone sessions are useful when bandwidth is limited or a simpler check-in is needed, and live chat or text messaging suit shorter or more frequent contact. These options let people fit therapy around work, family and other commitments while keeping focus on the therapeutic work.
Questions people ask
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What this therapist works with
Most often
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
Therapeutic approaches
- 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
- Experience
- 5 years
- Licensed
- Languages
- English
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