Fiona Small

• CBT
• ACT
• Attachment work

About Fiona

Fiona Small works with stress, anxiety, anger, self-esteem and a wide range of mood and relationship difficulties using a blend of therapeutic approaches. She is registered with NCPS and has six years' experience working with people in the United Kingdom and internationally. Sessions focus on helping clients manage feelings, think differently about problems and build everyday coping skills.

Fiona adapts her work to suit each person, drawing on Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behaviour Therapy (DBT), Attachment-Based Therapy and Client-Centred Therapy. She supports people dealing with trauma and abuse, grief, addiction and neurodiversity concerns such as autism and ADHD. She also addresses eating and sleeping problems, parenting stress, mood variations and issues linked to self-worth.

Her practical sessions often involve talking through current patterns, noticing thoughts and behaviours, and trying new ways of responding. Fiona uses techniques from CBT to challenge unhelpful thinking, ACT to clarify values and DBT strategies for emotion regulation when needed. Attachment-focused work looks at how early relationships affect present patterns.

Fiona works with concerns including abandonment, attachment issues, dissociation, feelings of emptiness, guilt and shame, jealousy, narcissism and communication problems. She also supports people coping with life changes, compassion fatigue and bipolar mood issues in a collaborative way.

Sessions are offered in English and international clients are accepted. Fees vary by location and are delivered via a subscription model that can be cancelled at any time. To begin, use the Talk to a counsellor online button, complete the short matching questionnaire and book a first session.

How Fiona uses therapeutic approaches in online work

Acceptance and Commitment Therapy (ACT) focuses on clarifying what matters to a person and taking small committed steps towards those values. It is useful when someone feels stuck, overwhelmed by thoughts, or unsure what matters most to them.

Cognitive Behavioural Therapy (CBT) looks at links between thoughts, feelings and behaviours and uses practical exercises to change unhelpful patterns. CBT can help with anxiety, low mood, sleeping problems and some eating concerns.

Attachment-Based Therapy explores how early relationships shape current patterns in close relationships and emotion regulation. This work can help with communication problems, feelings of abandonment, and difficulties forming trust.

Finding the right approach is part of the work together. Fiona will discuss options and try methods that fit the client's needs, goals and preferences in a collaborative way. She adapts techniques across sessions rather than relying on one fixed method.

The biography does not list specific session formats, so please confirm available formats before booking. Online work can make it easier to fit sessions into a busy week, reduce travel time and allow shorter check-ins when needed. Registered or accredited professionals often use remote sessions to support people who live elsewhere or who need more flexible scheduling.

Topics Fiona lists

• Stress and anxiety
• Anger management
• Self-esteem
• Depression
• ADHD
• Addictions
• Relationship issues
• Family conflicts
• Trauma and abuse
• Grief
• Eating disorders
• Sleeping disorders
• Parenting issues
• Bipolar disorder
• Coping with life changes
• Compassion fatigue
• Abandonment
• Antisocial personality
• Attachment issues
• Autism and Asperger Syndrome
• Avoidant personality
• Body image
• Communication problems
• Dissociation
• Emptiness
• Family problems
• Guilt and shame
• Isolation and loneliness
• Jealousy
• Mood disorders
• Narcissism
• Obsessions, compulsions, and OCD
• Panic disorder and panic attacks
• Personality disorders
• Phobias
• Post-traumatic stress
• Seasonal Affective Disorder (SAD)
• Self-harm
• Social anxiety and phobia
• Women's issues
• Workplace issues
• Young adult issues

Ways of working

• 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

Questions about Fiona

Does she work with anxiety?

Yes. Anxiety and stress are listed among the main concerns she addresses using practical skills and talking methods.

What kind of counselling does she offer?

She uses a blend of approaches including Cognitive Behavioural Therapy (CBT), Acceptance and Commitment Therapy (ACT), Dialectical Behaviour Therapy (DBT), Attachment-Based Therapy and Client-Centred Therapy.

How much experience does she have?

She has six years of professional experience working with people in the United Kingdom and internationally.

Is she registered and where is she based?

She is registered with NCPS and practices from the United Kingdom.

Which languages are sessions offered in?

Sessions are offered in English and international clients are accepted.

What session formats are available?

The original biography does not specify session formats, so please confirm current session options before booking.

How much do sessions cost?

Fees vary with location and sessions use a subscription that can be cancelled at any time.

How do I start counselling with her?

Use the Talk to a counsellor online button, complete a short matching questionnaire, and schedule your first session.