Counsellor profile
Fiona Small, NCPS
Counsellor - anxiety and trauma support
See online counselling options- ACT
- CBT
- Attachment work
About Fiona
Counsellor Fiona Small is a member of the National Counselling and Psychotherapy Society (NCPS) with six years' experience working in the United Kingdom. She helps people with stress, anxiety, anger, low self-esteem, depression, ADHD, addictions, relationship and family concerns, trauma and abuse, grief, eating and sleeping problems, parenting strains, bipolar mood issues, and coping with life changes.
Fiona uses a mix of evidence-informed approaches to fit each person's needs. She draws on Acceptance and Commitment Therapy (ACT), Attachment-Based Therapy, Client-Centred Therapy, Cognitive Behavioural Therapy (CBT) and Dialectical Behaviour Therapy (DBT). Sessions focus on practical steps and clearer thinking as well as exploring emotional patterns.
Her work commonly includes helping people manage mood swings, reduce unhelpful thinking, and build skills for emotional regulation. She also offers support around attachment and relationship patterns, and difficulties linked to autism and neurodiversity. Fiona can talk through issues such as guilt, shame, isolation, and body image in straightforward language.
She has particular experience with people who have lived through trauma and emotional abuse and integrates approaches that help process painful memories alongside skills-based therapy. Her NCPS membership is shown as NCPS and denotes the professional body listed by Fiona.
Sessions are offered in English and she accepts international clients. Practical arrangements, session formats and fees can vary by location; readers should confirm current session options before booking. To begin, people are asked to complete a short matching questionnaire and then schedule a first session.
How Fiona’s approaches work in online counselling
Acceptance and Commitment Therapy (ACT) helps people notice their thoughts and decide what matters most. It uses practical exercises to build willingness to act in line with personal values, which can help with anxiety, low mood and stress.Cognitive Behavioural Therapy (CBT) focuses on the links between thoughts, feelings and behaviours. It teaches simple tools to test unhelpful thoughts and change routines that keep problems going, useful for depression, anxiety and sleep issues.
Attachment-Based Therapy looks at patterns from early relationships and how they affect current connections. It supports people wanting clearer communication and healthier relationship habits.
Finding the right approach is part of the work. Fiona will talk with each person about their goals and preferences and try different ways of working until something fits. That process is collaborative and paced to what the person can manage.
The practical benefits of online counselling include fitting sessions around work and family life and avoiding travel time. If you need specific session formats, check the current options before booking as formats can vary by location. Registered or accredited professionals and therapists often use online sessions to keep continuity of care and make it easier to attend regular appointments.
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 concerns does she help with most often?
Fiona works with a wide range of issues including stress, anxiety, depression, anger, ADHD, addictions, relationship and family concerns, trauma and grief.
What is her therapeutic style?
She uses an integrative, practical style drawing on ACT, CBT, DBT, attachment and client-centred approaches to suit each person.
How much experience does she have?
Fiona has six years' experience working as a counsellor in the United Kingdom.
Which professional body is she a member of?
Her listed registration is with the National Counselling and Psychotherapy Society, shown as NCPS.
Which languages are sessions offered in?
Sessions are offered in English.
Can people outside the UK work with her?
She accepts international clients as stated in her profile.
How are sessions organised and paid for?
Fees vary with location and sessions are billed through a subscription that can be cancelled at any time.
How do I start a first session?
Use the See online counselling options button, complete the short matching questionnaire, and schedule the first session.
Details come from information the counsellor supplied to BetterHelp. A membership or registration can be checked on the professional body's own register.
Online counselling is not emergency care. In an emergency call 999, or see the help numbers.