Fiona Small

Fiona Small is a counsellor with six years' experience working with people through a wide range of difficulties. She uses a mix of approaches to match what each person needs and focuses on practical steps that help day-to-day life. Her style is warm, respectful and straightforward, aimed at making it easier to talk about hard things.

Fiona has supported people with stress, anxiety and depression as well as anger and self-esteem problems. She also helps those dealing with parenting strain, relationship worries, grief, addiction and sleeping or eating difficulties. Additional areas she works with include ADHD, mood disorders and concerns linked to narcissism and attachment issues.

Her practice draws on methods such as Acceptance and Commitment Therapy, Cognitive Behavioural Therapy and Attachment-Based Therapy to shape sessions. Fiona blends these with client-centred and dialectical ideas, choosing tools that fit each person’s goals. Sessions focus on clear techniques, practical coping skills and understanding patterns that cause distress.

People notice Fiona’s sensitive, down-to-earth manner and emphasis on collaboration. She aims to create a space where people can name what’s troubling them and try manageable changes. The work is paced to suit the individual rather than following a fixed script.

Fiona is based in the United Kingdom and works in English. She accepts international clients and uses a subscription system for sessions that can be cancelled at any time. To begin, a short matching questionnaire is completed and scheduling follows the therapist’s availability.

How Fiona uses practical therapies online

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting overwhelmed by them. It uses simple exercises and values-focused goals to guide practical changes. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and actions and teaches skills to break unhelpful patterns and reduce anxiety or low mood. Attachment-Based Therapy focuses on how early relationships shape current patterns and helps people build more secure ways of relating and coping.

Choosing the right approach is part of the work. Fiona will talk with each person about their needs, goals and preferences and then suggest ways of working together. This is a collaborative process and plans can be adjusted as therapy progresses.

The biography does not list specific online session types, so please confirm the exact formats before booking. Online work can make it easier to fit therapy into a busy week, reduce travel time and allow shorter check-ins when needed. It can also suit people who prefer talking without being on camera, or those who need a quieter time slot during the day. Registered or accredited professionals, including therapists, use these options to help clients maintain continuity of care and make therapy more convenient.