- Stress and anxiety
- Relationship strain
- ACT and CBT
About Fiona
Fiona Small is an NCPS counsellor based in the United Kingdom with six years of practice. She works with adults on common difficulties such as stress, anxiety, low self-esteem, depression and relationship strain, as well as concerns like ADHD, addictions and grief.
She supports people coping with life changes, parenting stress, sleep and eating issues, and complex emotional responses after trauma or abuse. Fiona also lists work on mood disorders, bipolar presentations, and compassion fatigue among her areas of focus. Her practice notes additional attention to attachment issues, autism and Asperger syndrome, body image and feelings of emptiness.
Fiona’s approach draws on a mix of well-known therapeutic methods. She uses Acceptance and Commitment Therapy and Cognitive Behavioural Therapy alongside attachment-based and client-centred ideas. Dialectical Behaviour Therapy techniques also form part of her toolkit for emotion regulation and distress tolerance.
In sessions she aims for an interactive, respectful style that addresses practical problems and emotional patterns. Conversations often include looking at thoughts and behaviours, as well as working on how to relate to oneself and others. She encourages learning skills that can be put into everyday life.
For people worried about starting therapy, Fiona asks clients to think about what they want from counselling and to begin with a short assessment. International clients may be accepted and sessions are conducted in English. Booking starts by completing a short matching questionnaire and arranging a first session.
How Fiona uses therapeutic approaches online
Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without being ruled by them. It focuses on identifying values and taking small actions that match those values, which can help with stress, anxiety and feeling stuck. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviours and offers practical techniques to change unhelpful patterns; it is often used for anxiety, depression and sleep problems. Attachment-Based Therapy explores how past relationships shape current ways of relating and can help with trust, intimacy and repeated relationship difficulties.Figuring out which approach fits best is part of the work. Fiona will discuss options with each person and agree a plan that reflects their needs, goals and preferences. That plan can change as therapy moves forward, and clients are encouraged to feedback on what helps most.
Practical benefits of online sessions include fitting therapy into a busy student or working week and reducing travel time. Online work can make it easier to schedule short check-ins or support during a lunch break, and it allows people to connect from different locations including internationally. Because session formats were not specified in the biography, confirm the current online session options before booking so you know what will work for your routine.
Areas of expertise
Primary focus
Also works with
Additional focus areas
Therapeutic approaches
Experience
6+ years
Listed in
United Kingdom
Languages
English
Frequently asked questions
What issues does she work with?
She works with stress, anxiety, depression and common young-adult pressures such as relationship strain, career transitions and feeling behind. Other areas include ADHD, grief, trauma and sleep or eating problems.
How would she describe her therapeutic style?
Her style is interactive and respectful. Sessions combine talking therapies with practical skills for managing thoughts, emotions and behaviour.
What is her clinical background?
She has six years of experience working with adults on a wide range of concerns, including complex trauma and neurodiversity.
What credential does she hold and where is she based?
She is listed with the NCPS and practises in the United Kingdom.
Which languages are supported?
Sessions are offered in English.
Can international clients work with her?
She is open to international clients; confirm session logistics and time zones when arranging appointments.
How are sessions charged?
Cost varies by location and sessions use a subscription model that can be cancelled at any time.
How do I start a first session?
Begin by selecting the See online therapy options button, complete a short matching questionnaire, and schedule a first session.
Online talk therapy through BetterHelp is for adults aged 18 and over and is not emergency care. If you are in danger, use the emergency numbers. Find someone else by name.