Fiona Small, NCPS

Fiona Small is an integrative counsellor who tailors her approach to the individual needs of each person she supports. With six years of clinical experience, she has worked with a broad range of concerns including depression, anxiety, relationship difficulties, parenting challenges, career transitions, OCD, complex PTSD, and neurodiversity-related issues. Fiona’s practice is informed by training in trauma-focused techniques such as REWIND therapy, which she uses as a gentle option for working with distressing memories and emotional pain.

Her therapeutic style is warm, engaged, and grounded in respect and sensitivity. She combines cognitive-behavioural methods with humanistic and psychodynamic perspectives and draws on rational-emotive techniques to help clients build insight, practical skills, and emotional resilience. Fiona holds the NCPS credential, indicating a professional qualification in counselling and psychotherapy.

She aims to create an empowering space where people feel heard and supported as they work through changes and challenges. Recognising the courage it takes to begin therapy, Fiona offers collaborative, compassionate support and stands alongside clients as they take steps toward healing and growth.

Therapeutic approaches and online support

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting overwhelmed by them, then focus on actions that align with their values. It can be useful for anxiety, depression, and coping with life changes. Attachment-Based Therapy explores patterns formed in early relationships and how they affect current connections - it can help with relationship difficulties, abandonment concerns, and attachment-related distress. Cognitive Behavioral Therapy (CBT) focuses on identifying unhelpful thoughts and testing them through practical strategies and behavioural experiments, often helping with anxiety, low mood, and stress management.

Finding the right approach is part of the therapeutic process, and Fiona works collaboratively to determine which methods best suit each client’s needs, goals, and preferences. She tailors techniques over time, combining elements from these models to support practical change and emotional understanding.

Online therapy offers flexible ways to engage - video calls, phone sessions, live chat, and text-based messaging allow clients to fit sessions into busy lives and access support from different locations. These options make it easier to maintain continuity of care, try different formats, and find a rhythm that works for each person while working with licensed professionals and therapists.