Fiona Small , NCPS

Fiona Small is an integrative therapist based in the United Kingdom who blends practical techniques with a compassionate, client-centered presence. With six years of experience, she works alongside people facing a wide range of concerns, including depression, anxiety, relationship and family difficulties, parenting challenges, career transitions, OCD, complex PTSD, neurodiversity, and issues related to addiction, eating and sleeping, and mood disorders. Fiona adapts her work to each person she meets, drawing on cognitive-behavioral, humanistic, psychodynamic, and rational-emotive methods to tailor support to individual needs.

Her experience supporting clients who have lived through trauma and emotional abuse led her to train in REWIND therapy, a gentle method for processing distressing memories and reducing the hold of traumatic moments. Fiona’s therapeutic style is warm, interactive, and grounded in respect, sensitivity, and compassion, creating a space where people can explore difficult feelings and develop practical coping strategies.

Fiona holds the NCPS credential, indicating a recognised professional qualification in counselling, and she offers flexible formats for therapy to suit different lives and circumstances. She is accepting new clients and welcomes those ready to begin a process of change and growth.

Therapeutic Approaches and Online Support

Fiona Small commonly draws on Acceptance and Commitment Therapy, Attachment-Based Therapy, and Cognitive Behavioral Therapy in her online practice. Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them, and it supports building a life guided by personal values - it can be useful for anxiety, stress, and life transitions. Attachment-Based Therapy focuses on relationship patterns that formed in early life and how they affect present connections, helping with attachment issues, relationship difficulties, and feelings of emptiness. Cognitive Behavioral Therapy (CBT) involves identifying unhelpful thought and behavior patterns and developing practical strategies to change them, often helping with depression, anxiety, and coping skills.

Finding the right blend of approaches is part of the therapeutic process. Fiona works collaboratively with each person to explore what fits best for their goals, preferences, and circumstances, adjusting methods as progress unfolds and needs change.

Online therapy offers practical flexibility - sessions by video call, phone, live chat, or text-based messaging allow people to access support from different locations and at different times. These options can make it easier to maintain regular sessions, integrate therapy into busy lives, and continue work between meetings, while still receiving guidance from licensed professionals and therapists trained in evidence-based approaches.