Nicola Fiveash

• Stress and anxiety
• Grief and trauma
• CBT and ACT

About Nicola

Nicola Fiveash works with stress, anxiety, grief, trauma and abuse, life changes, ADHD and related concerns using an integrative approach that draws on several therapies. She is a member of NCPS and has five years of clinical experience in the United Kingdom.

Nicola uses person-centred work to give people a chance to talk through feelings without judgement. She uses cognitive behavioural techniques to help identify thought and behaviour patterns that keep problems going. Attachment-based ideas and psychodynamic thinking are used when past experiences seem to shape current responses.

Sessions are collaborative and planned with the person in mind. Nicola describes therapy as a process that unfolds at its own pace, so she works to match the focus and pace to what each person needs. Neurodiversity-affirming practice and a trauma-informed way of working are central to her approach.

She supports people dealing with relationship strain, low mood, overwhelm, and the effects of past experiences. Nicola also addresses practical problems such as sleep or eating difficulties, work and career worries, and caregiver stress alongside emotional concerns.

People can expect straightforward, conversational sessions where thoughts, feelings and practical steps are discussed. Nicola emphasises respect for autonomy and helps people notice strengths they already have. Her aim is to help people find clearer ways of coping and moving forward in day-to-day life.

Therapeutic approaches and how they work online

Acceptance and Commitment Therapy (ACT) helps people notice thoughts and choose actions that reflect their values rather than being led by unhelpful thoughts. It is often used for anxiety, low mood and life transitions. Cognitive Behavioural Therapy (CBT) looks at links between thoughts, feelings and behaviours and uses practical exercises to change patterns that keep problems going. This can help with sleep, worry and unhelpful coping habits.

Finding the right approach is part of the work together. The counsellor will discuss options and agree a plan based on the person’s needs, goals and preferences. Sessions are collaborative and may combine elements from different approaches as needed.

The biography does not list specific session formats, so please confirm available options before booking. Online sessions can make it easier to fit counselling into a busy week, reduce travel time and allow for shorter check-ins when needed. They can also allow people to join from different locations when that helps with work or family commitments. Registered or accredited professionals can work with clients by arranging a format that fits practical needs and daily life.

Topics Nicola lists

• Stress and anxiety
• Trauma and abuse
• Grief
• Coping with life changes
• ADHD
• Addictions
• Relationship issues
• Family conflicts
• Eating disorders
• Sleeping disorders
• Parenting issues
• Self-esteem
• Career difficulties
• Depression
• Coaching
• Compassion fatigue
• Abandonment
• Adoption and foster care
• Aging and geriatric issues
• Antisocial personality
• Attachment issues
• Autism and Asperger Syndrome
• Avoidant personality
• Blended family issues
• Body image
• Cancer
• Caregiver issues and stress
• Chronic pain, illness, and disability
• Co-morbidity
• Codependency
• Commitment issues
• Communication problems
• Control issues
• Coping with natural or human-caused disaster
• Dependent personality
• Disruptive Mood Dysregulation Disorder (DMDD)
• Dissociation
• Divorce and separation
• Domestic violence
• Eating and food-related issues
• Emptiness
• Family of origin issues
• Family problems
• Fatherhood issues
• Fertility issues
• First responder issues
• Forgiveness
• Guilt and shame
• Hearing impaired
• HIV and AIDS
• Hoarding
• Hospice and end-of-life counselling
• Immigration issues
• Impulsivity
• Infidelity
• Intellectual disability
• Isolation and loneliness
• Jealousy
• Life purpose
• Midlife crisis
• Veteran and armed forces issues
• Money and financial issues
• Mood disorders
• Multicultural concerns
• Narcissism
• Obsessions, compulsions, and OCD
• Panic disorder and panic attacks
• Paranoia
• Personality disorders
• Phobias
• Polyamory and non-monogamous relationships
• Postpartum depression
• Post-traumatic stress
• Pregnancy and childbirth
• Prejudice and discrimination
• Seasonal Affective Disorder (SAD)
• Self-harm
• Self-love
• Sexual assault and abuse
• Quitting smoking or vaping
• Social anxiety and phobia
• Somatization
• Traumatic brain injury
• Trichotillomania
• Visually impaired
• Women's issues
• Workplace issues
• Young adult issues

Ways of working

• Acceptance and Commitment Therapy (ACT)
• Attachment-Based Therapy
• Client-Centred Therapy
• Cognitive Behavioural Therapy (CBT)
• Dialectical Behaviour 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

Questions about Nicola

Does she help with anxiety?

Yes. Nicola lists anxiety and stress among her main areas of work and uses cognitive behavioural techniques to address unhelpful thoughts and behaviours.

What kind of counselling does she offer?

She works integratively, combining person-centred methods with CBT, attachment-based ideas and psychodynamic thinking to suit each person.

How much experience does she have?

She has five years of experience working with grief, trauma, anxiety and related concerns in the United Kingdom.

What are her credentials and where is she based?

She is registered with NCPS and practises in the United Kingdom.

Can I book sessions in a language other than English?

Sessions are offered in English.

What session formats does she offer?

The biography does not specify session formats; please confirm current options before booking.

How much do sessions cost?

Cost varies with location; sessions use a subscription that can be cancelled at any time.

How do I start working with her?

Use the Talk to a counsellor online button, complete a short matching questionnaire and schedule a first session.