Fiona Small
Compassionate counsellor blending practical therapies
About Fiona
Fiona Small is a counsellor based in the United Kingdom with six years of clinical experience. She works with people who are facing stress, anxiety, depression and a wide range of emotional difficulties. Fiona communicates in plain language and aims to make first steps feel manageable for a worried parent reading on a phone.
She offers a blend of approaches to suit different needs rather than a one-size-fits-all method. Sessions focus on practical skills and clearer thinking alongside exploring past experiences that still cause pain.
Background and approach
Fiona helps people address mood problems, addiction-related struggles, ADHD-related challenges, grief and trauma-related distress. Her practice also includes support for those coping with family problems, relationship issues, parenting strain and major life changes. Fiona pays attention to difficulties such as low self-esteem, anger, dissociation, body image concerns and isolation.
She also works with people affected by personality-related patterns, attachment issues and neurodiversity such as autism and Asperger syndrome. Fiona draws on therapies that help people notice thoughts, choose values-driven actions and regulate intense emotions. She aims to create a calm, respectful space and to tailor the work to each person’s pace and goals.
Conversations can include practical exercises, problem solving and emotionally-focused reflection. Her credential is NCPS, which is recorded with the practice. Sessions are offered in English and international clients are accepted.
To begin, people use the platform Start Therapy button, complete a short matching questionnaire and schedule sessions according to her availability.
What Fiona works with
How Fiona works
Listed by Fiona among the ways they work.
Listed by Fiona among the ways they work.
Listed by Fiona among the ways they work.
Listed by Fiona among the ways they work.
Listed by Fiona among the ways they work.
Listed by Fiona among the ways they work.
Sessions & fees
Approaches that guide online sessions
Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match their values. It is useful for anxiety, depression and for people who feel stuck when life changes. Cognitive Behavioural Therapy (CBT) focuses on identifying thought patterns and testing them with practical exercises to reduce distress and improve day-to-day functioning. It works well for mood problems, anxiety and some behaviour patterns.Finding the best approach is part of the work. Fiona will discuss goals, preferences and what feels most useful, then tailor methods accordingly. The process is collaborative so adjustments can be made as progress unfolds.
Online formats include video calls, phone sessions, live chat and text-based messaging which make sessions easier to fit into busy lives. Video is good for face-to-face conversation and visual cues, phone can work when bandwidth is limited, live chat suits shorter check-ins and messaging supports ongoing reflection between appointments. These options help people keep continuity and make therapy more accessible.
| Session length | Typically 50 minutes |
|---|---|
| Client ages | Adults, 18 and over |
| Fees | Subscription via BetterHelp, cancel anytime |
| Insurance | Not billed directly |
Questions people ask
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Areas of focus
What this therapist works with
Most often
- Stress, Anxiety
- Anger management
- Self esteem
Also listed
- Abandonment
- Addictions
- ADHD
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Bipolar disorder
- Body image
- Communication problems
- Compassion fatigue
- Coping with life changes
- Depression
- Dissociation
- Eating disorders
- Emptiness
- Family conflicts
- Family problems
- Grief
- Guilt and shame
- Isolation / loneliness
- Jealousy
- Mood disorders
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Parenting issues
- Personality disorders
- Phobias
- Post-traumatic stress
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self-harm
- Sleeping disorders
- Social anxiety and phobia
- Trauma and abuse
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centred Therapy
- Cognitive Behavioural Therapy (CBT)
- Dialectical Behaviour Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Hypnotherapy
- Mindfulness Therapy
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Experience
- 6 years
- Registered with
- NCPS
- Languages
- English
