About Nicola
Nicola Fiveash is a counsellor based in the United Kingdom with five years of clinical experience. She works with people facing stress, anxiety, grief, trauma and life changes, and supports those who identify as neurodivergent. Nicola holds NCPS as her listed credential.
Nicola uses an integrative style that blends several approaches to match each person's needs. She offers client-centred work that creates space to talk without judgement and draws on cognitive behavioural techniques to notice and change unhelpful thought and behaviour patterns.
Background and approach
Attachment-based ideas and elements of dialectical work also appear when they help make sense of relationships or intense emotions. Her sessions aim to be collaborative. Nicola encourages people to name what matters to them and set practical goals together.
She pays attention to past patterns that continue to affect daily life while also focusing on coping tools that can be used between meetings. People come to Nicola for a wide range of difficulties, including parenting strain, sleep and eating issues, addiction concerns, career-related stress, low self-esteem and compassion fatigue.
She also supports those dealing with abandonment, adoption and foster care experiences, chronic illness and body image worries. Nicola describes her practice as trauma-informed and neurodiversity-affirming. She emphasises respect for each person’s pace and choices, and creates a calm, warm space for reflection and change.
If someone wants a steady, empathetic counsellor who mixes practical techniques with thoughtful listening, Nicola aims to provide that support.
How Nicola’s approaches work online
Acceptance and Commitment Therapy (ACT) focuses on helping people notice what matters to them and take small steps toward those values, even when difficult feelings are present. It is often helpful for anxiety, stress and coping with life changes. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviours and teaches practical strategies to shift unhelpful patterns, which can be useful for anxiety, low mood and sleep problems. Attachment-Based Therapy explores how early relationships affect current connections and emotional responses, helping people understand relationship patterns and improve how they relate to others.Finding the right approach is part of the work. Nicola will talk with each person about their goals and preferences and then decide together which methods to try. That collaborative process means techniques can be adapted over time to fit what is actually helping.
Online sessions are offered by video calls, phone, live chat or text-based messaging to make therapy easier to fit into daily life. Video is useful when face-to-face style contact matters, phone can be chosen for lower bandwidth or a simpler check-in, and chat or text works for shorter check-ins or when someone prefers writing. These options aim to give flexibility so people can work on their goals from different locations and routines.
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What this therapist works with
Most often
Also listed
- Abandonment
- Addictions
- ADHD
- Adoption and foster care
- Aging and geriatric issues
- Antisocial personality
- Attachment issues
- Autism and Asperger Syndrome
- Avoidant personality
- Blended family issues
- Body image
- Cancer
- Career difficulties
- Caregiver issues and stress
- Chronic pain, illness, and disability
- Co-morbidity
- Coaching
- Codependency
- Commitment issues
- Communication problems
- Compassion fatigue
- Control issues
- Coping with life changes
- Coping with natural or human-caused disaster
- Dependent personality
- Depression
- Disruptive Mood Dysregulation Disorder (DMDD)
- Dissociation
- Divorce and separation
- Domestic violence
- Eating and food-related issues
- Eating disorders
- Emptiness
- Family conflicts
- Family of origin issues
- Family problems
- Fatherhood issues
- Fertility issues
- First responder issues
- Forgiveness
- Guilt and shame
- Hearing impaired
- HIV / AIDS
- Hoarding
- Hospice and end-of-life counseling
- Immigration issues
- Impulsivity
- Infidelity
- Intellectual disability
- Isolation / loneliness
- Jealousy
- Life purpose
- Midlife crisis
- Money and financial issues
- Mood disorders
- Multicultural concerns
- Narcissism
- Obsessions, compulsions, and OCD
- Panic disorder and panic attacks
- Paranoia
- Parenting issues
- Personality disorders
- Phobias
- Polyamory / non-monogamous relationships
- Post-traumatic stress
- Postpartum depression
- Pregnancy and childbirth
- Prejudice and discrimination
- Relationship issues
- Seasonal Affective Disorder (SAD)
- Self esteem
- Self-harm
- Self-love
- Sexual assault and abuse
- Sleeping disorders
- Smoking / vaping cessation
- Social anxiety and phobia
- Somatization
- Traumatic brain injury
- Trichotillomania
- Veteran and Armed Forces Issues
- Visually impaired
- Women's issues
- Workplace issues
- Young adult issues
Therapeutic approaches
- Acceptance and Commitment Therapy (ACT)
- Attachment-Based Therapy
- Client-Centered Therapy
- Cognitive Behavioral Therapy (CBT)
- Dialectical Behavior Therapy (DBT)
- Emotionally-Focused Therapy (EFT)
- Existential Therapy
- Hypnotherapy
- Jungian Therapy
- Mindfulness Therapy
- Motivational Interviewing
- Narrative Therapy
- Psychodynamic Therapy
- Solution-Focused Therapy
- Somatic Therapy
- Trauma-Focused Therapy
- Internal Family Systems
- Systemic Therapy
- Experience
- 5 years
- Licensed
- Languages
- English
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