Directory entry

Fiona Small, NCPS

Credentials: NCPS
Experience: 6 years
Practising in: United Kingdom
Languages: English
Sessions: Online only
Client ages: Adults, 18 and over

Works with Stress, AnxietyAnger managementSelf esteem Depression ADHD

Ready when you are

Fiona sees clients through BetterHelp. Answer a few questions to ask about starting - free, and no commitment.

Affiliate link. We will earn a commission if you sign up, at no cost to you.

Fiona Small is a counsellor with six years' experience working with people who feel overwhelmed by stress, anxiety, low self-esteem and life changes. She practises online and supports clients across the United Kingdom and internationally in English. Fiona holds NCPS as her listed credential.

Fiona takes a practical, down-to-earth approach in sessions. She focuses on what is happening now and on small steps that help reduce distress. She uses clear language and aims to make conversations easy to follow for someone who is tired or worried.

Background and approach

Her work covers a wide range of concerns, including depression, bipolar mood issues, ADHD, addictions, grief and trauma. She also helps people facing relationship or family problems, parenting stress, eating and sleeping difficulties, and compassion fatigue. Fiona draws on several methods such as cognitive behavioural techniques, Acceptance and Commitment Therapy, attachment-based ideas and client-centred listening.

That mix lets her tailor sessions to a person’s needs, using skills, reflection and practical exercises as useful. Sessions often include talking through current problems, learning strategies to manage intense feelings, and practising new ways of coping between meetings. Fiona aims to create a respectful, compassionate space where people can try out changes at their own pace.

Therapeutic approaches that work online

Acceptance and Commitment Therapy, or ACT, focuses on helping people notice difficult thoughts and feelings without getting stuck in them. It uses values and small practical steps to help people act in ways that matter to them, which can help with anxiety, depression and coping with life changes.

Cognitive Behavioural Therapy, CBT, looks at the links between thoughts, feelings and actions. It helps people test unhelpful thinking and learn new behaviours through short exercises and practical tasks, which is useful for panic, worry, low mood and sleep problems.

Attachment-based ideas pay attention to how early relationships shape current patterns. Sessions using this approach help people understand relationship dynamics, attachment needs and ways to build more stable connections in day-to-day life.

Deciding which approach to use is a collaborative process. The therapist will listen to your concerns, discuss the different options and work with you to choose methods that match your goals and preferences. That means plans can change as you progress and as different needs arise.

Online therapy offers practical benefits. Video calls let you use visual cues and more natural conversation, phone sessions suit quick check-ins or times when bandwidth is limited, and live chat or text messaging can be useful for brief support, homework check-ins or people who find written communication easier. These formats make therapy more flexible and easier to fit around work, family or travel.

What concerns does Fiona commonly help with?

She works with stress, anxiety, anger, low self-esteem, depression and mood disorders, plus ADHD, addictions and grief among other issues.

What is the therapist's style in sessions?

Fiona uses a warm, interactive and respectful style that focuses on practical steps and clear conversation to help people manage difficult feelings.

What background does she bring to counselling?

She has six years of clinical practice and draws on a range of therapeutic approaches to match each person’s situation.

Where is the therapist based and what credential is shown?

Fiona is based in the United Kingdom and lists NCPS as her professional credential.

Which languages and locations are supported?

Sessions are offered in English and she accepts clients from other countries as well as the UK.

What session formats are available?

Work can be done by video calls, phone sessions, live chat or text-based messaging depending on the client's preference.

How is cost handled for sessions?

Costs vary with location and therapist availability; sessions use a subscription model that can be cancelled at any time.

How does someone begin working with this counsellor?

Start by clicking the Start Therapy button, complete a short matching questionnaire and then schedule sessions according to the therapist's availability.

Areas of focus

What this therapist works with

Most often

Stress, Anxiety
Anger management
Self esteem

Also listed

Therapeutic approaches

Experience: 6 years
Registered with: NCPS
Languages: English

Contacting Fiona

Fiona takes enquiries through BetterHelp. You answer a few questions about what you are looking for, then arrange sessions if it seems like a fit. Browsing costs nothing and you are not committing to anything by reading this page.

Fiona Small, NCPS

Background and approach

Therapeutic approaches that work online

Areas of focus

What this therapist works with

Others working with stress, anxiety