Nicola Fiveash, NCPS

Nicola Fiveash is a counsellor based in the United Kingdom with five years of experience. She works with people facing grief, loss, trauma and abuse, stress and anxiety, and those who identify as neurodivergent. Nicola brings a calm, compassionate presence to sessions and focuses on listening first. She uses an integrative approach, drawing on several methods to suit each person's needs. That can include client-centred work to make space for feelings without judgment. It can also mean cognitive behavioural techniques to look at how thoughts and behaviours link, and attachment-based ideas to understand relationship patterns rooted in earlier experiences. Nicola describes therapy as a personal, non-linear process. She aims to help people notice their strengths and to build practical ways to manage overwhelming feelings. Sessions are collaborative, with the person’s goals guiding what comes next. Her practice is trauma-informed and affirming of neurodiversity. Nicola emphasises safety, autonomy and respect for different ways of experiencing the world. She offers support for common life challenges such as parenting strain, career worries, chronic health concerns and coping with major change. People who come to Nicola often want straightforward support, clear tools and a steady listening presence. She works at a pace chosen by the person and focuses on helping them make sense of difficult experiences and find ways to move forward.

How Nicola’s approaches translate to online therapy

Acceptance and Commitment Therapy (ACT) helps people notice unhelpful thoughts and choose actions that match their values. It is often used for stress, anxiety and managing long-term health or pain. Cognitive Behavioural Therapy (CBT) focuses on the link between thoughts, feelings and behaviours and offers practical strategies for changing patterns that keep problems going. Attachment-Based Therapy looks at how early relationships shape current ways of relating and can help with recurring relationship difficulties or attachment issues.

Choosing a therapeutic approach is part of the work. Nicola will discuss options with the person and try methods that feel most useful. She treats this as a collaboration and adapts the approach based on what the person wants and what helps them reach their goals.

If you are considering online therapy, check the current session options before booking. Confirm whether sessions will be by video, phone or another format with the service when you start. Online sessions can make it easier to fit therapy into busy lives, reduce travel time and allow shorter check-ins when needed. They also allow people to use techniques and worksheets together during a session, which can help turn moments of insight into practical steps for everyday life.