Nicola Fiveash , NCPS

Nicola Fiveash is a counsellor who has practised in the United Kingdom for five years. She works with people facing grief, loss, trauma and abuse, as well as stress, anxiety and the everyday strains of life. Nicola also supports those who identify as neurodivergent and people dealing with changes like parenting, career shifts or health challenges.

Her approach is integrative, drawing on a range of therapies to suit each person. She uses client-centred methods to offer listening without judgement and cognitive behavioural ideas to notice and change unhelpful thinking and behaviour. Attachment-based perspectives help illuminate patterns that grew from early relationships.

Sessions are collaborative and tailored to what the person needs right now. Nicola aims to create a calm, compassionate space where emotions can be named and worked through at a gentle pace. She emphasises respect for neurodiversity and aims to support autonomy and personal choice.

People come to Nicola for many reasons - low mood, anxiety, relationship difficulties, coping after loss, or feeling overwhelmed by life changes. She combines practical tools with reflective work so people can find ways to manage day-to-day as well as make longer term sense of their experiences.

Nicola believes being truly heard can help people reconnect with their strengths. Her style is warm and non-judgemental, focused on helping each person make progress in ways that suit their life and values.

How therapeutic approaches translate to online work

Acceptance and Commitment Therapy, often called ACT, focuses on helping people clarify what matters to them and take small steps toward those values even when difficult thoughts or feelings appear. It can help with anxiety, low mood and choices about life changes. Attachment-Based Therapy looks at how early relationship patterns affect current connections and offers ways to build safety and trust in relationships and within the therapeutic relationship itself. Cognitive Behavioural Therapy, or CBT, helps people identify unhelpful thought and behaviour patterns and practise alternative responses to reduce distress and improve day-to-day functioning.

Finding the right approach is part of the work. Nicola will talk with each person about their goals and preferences and then adapt methods that feel most useful. Therapy is collaborative - she will check in and adjust pace and techniques as the relationship develops.

Online therapy offers practical flexibility. Video calls allow face-to-face conversation when that helps, phone sessions can be easier when bandwidth is limited, and live chat or text-based messaging suits quick check-ins or people who prefer typing. These options make it simpler to fit sessions around work, caring responsibilities or mobility needs while keeping the focus on what helps someone make steady progress.