Fiona Small

Fiona Small is a counsellor who takes an integrative route to therapy. She blends practical talking therapies with a warm and respectful manner. Fiona draws on six years of experience to help people facing life changes and emotional strain.

She welcomes conversations about stress, anxiety, depression and low self-esteem. She also supports people dealing with anger, addiction, mood changes, grief and difficulties around sleep and parenting. Eating and body image concerns are within her range of practice as are challenges linked to neurodiversity and trauma.

Fiona uses a mix of approaches rather than one fixed method. She commonly draws on Acceptance and Commitment Therapy, Cognitive Behavioural Therapy and Client-Centred principles. These methods are used to help people notice their patterns, experiment with new ways of coping and build small, steady changes.

Her sessions aim to be grounded and collaborative. Fiona focuses on listening carefully, asking practical questions and helping people try techniques between meetings. She keeps language straightforward and avoids jargon so conversations are easy to follow.

People who come to Fiona often want a therapist who is calm, curious and pragmatic. She works with the pace each person needs and supports them to find clearer ways to manage feelings and relationships.

Therapeutic approaches and online support

Acceptance and Commitment Therapy (ACT) helps people notice difficult thoughts and feelings without getting stuck in them. It encourages choosing actions that match personal values and can be useful for anxiety, stress and low mood. Cognitive Behavioural Therapy (CBT) focuses on identifying unhelpful thinking and testing new behaviours. It often includes practical exercises and can help with depression, anxiety and sleep problems. Client-Centred Therapy places emphasis on a respectful, non-judgemental relationship and gives people space to lead the conversation while the counsellor reflects and supports their own insights.

Finding the right approach is part of the work. Fiona will discuss different methods with the person she is working with and decide together what to try first. She checks in about what helps and adapts the plan to fit each person’s needs and goals in a collaborative way.

If you are considering online sessions, please confirm the current session options before booking. Online therapy can make it easier to fit meetings into busy lives, reduce travel time and allow shorter check-ins when schedules are tight. Some formats require less bandwidth or work well without video, while others suit longer conversations; Fiona will talk through what could work best for practical day-to-day needs.