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Nicola Fiveash

Nicola Fiveash

Therapist · United Kingdom

Empathic integrative counsellor focusing on practical change

  • Trauma-informed approach
  • Neurodiversity-affirming
  • NCPS credential

About Nicola

Nicola Fiveash is an integrative counsellor based in the United Kingdom. She holds the NCPS credential and has five years of experience supporting people through grief, loss, trauma and life transitions. Nicola works with stress, anxiety, low mood and the emotional impact of neurodivergence, and she also helps with relationship and career worries.

She draws on several approaches to match each person’s needs. Nicola uses client-centred ways of working to create a non-judgemental space where people can talk through their feelings. She also uses cognitive behavioural techniques to look at unhelpful thoughts and behaviours, and attachment-informed ideas to understand relationship patterns.

Nicola describes her practice as trauma-informed and neurodiversity-affirming, with an emphasis on autonomy and respect. Sessions aim to be collaborative, with the person’s goals shaping the focus and pace. She believes healing is not linear and adapts the work to what feels safe and useful for each person.

Practical concerns such as sleep problems, eating worries, and everyday coping skills are included alongside deeper emotional themes. Nicola also supports people dealing with addiction, compassion fatigue and career strain. She welcomes discussions about parenting pressures and family dynamics while working with individuals.

Her style is calm, warm and empathic, offering steady listening and gentle challenge when helpful. Nicola encourages people to build on the strengths they already have and to try manageable steps toward change.

How her main approaches can work online

Acceptance and Commitment Therapy (ACT) helps people notice painful thoughts without getting ruled by them and focus on values-based action. It can be useful for anxiety, low mood and life transitions by helping people decide what matters and take small steps. Cognitive Behavioural Therapy (CBT) looks at the links between thoughts, feelings and behaviours and provides practical techniques for changing unhelpful patterns; it is often used for anxiety, depression and sleep or eating problems. Attachment-Based Therapy focuses on patterns in relationships and how early experiences shape current connections, which can help when relationship difficulties or attachment issues are a concern.

Choosing the right approach is part of the work. Nicola will talk through different ways of working and tailor the methods to your goals and preferences. The process is collaborative, and she will adapt techniques as you progress.

The biography does not list specific online session formats, so please confirm available options before booking. In general, many people find online therapy helps fit sessions into a busy life, reduces travel time and makes it easier to attend regular appointments. Some formats can be shorter or avoid video when that better suits someone’s energy or bandwidth. Registered or accredited professionals and therapists commonly use online work to make therapy more accessible, and Nicola will help plan practical arrangements that suit everyday routines.

Areas of focus

Stress, AnxietyTrauma and abuseGriefCoping with life changesADHDAddictionsRelationship issuesFamily conflictsEating disordersSleeping disordersParenting issuesSelf esteemCareer difficultiesDepressionCoachingCompassion fatigue
AbandonmentAdoption and foster careAging and geriatric issuesAntisocial personalityAttachment issuesAutism and Asperger SyndromeAvoidant personalityBlended family issuesBody imageCancerCaregiver issues and stressChronic pain, illness, and disabilityCo-morbidityCodependencyCommitment issuesCommunication problemsControl issuesCoping with natural or human-caused disasterDependent personalityDisruptive Mood Dysregulation Disorder (DMDD)DissociationDivorce and separationDomestic violenceEating and food-related issuesEmptinessFamily of origin issuesFamily problemsFatherhood issuesFertility issuesFirst responder issuesForgivenessGuilt and shameHearing impairedHIV / AIDSHoardingHospice and end-of-life counselingImmigration issuesImpulsivityInfidelityIntellectual disabilityIsolation / lonelinessJealousyLife purposeMidlife crisisVeteran and Armed Forces IssuesMoney and financial issuesMood disordersMulticultural concernsNarcissismObsessions, compulsions, and OCDPanic disorder and panic attacksParanoiaPersonality disordersPhobiasPolyamory / non-monogamous relationshipsPostpartum depressionPost-traumatic stressPregnancy and childbirthPrejudice and discriminationSeasonal Affective Disorder (SAD)Self-harmSelf-loveSexual assault and abuseSmoking / vaping cessationSocial anxiety and phobiaSomatizationTraumatic brain injuryTrichotillomaniaVisually impairedWomen's issuesWorkplace issuesYoung adult issues

Frequently asked questions

What kinds of problems does Nicola help with?

She works with stress, anxiety, grief, trauma and life changes, and also addresses sleep, eating and career concerns. Nicola also supports people coping with ADHD, addiction and compassion fatigue.

What is her therapeutic style like?

Her style is calm, warm and non-judgemental. Sessions are collaborative and focus on practical steps alongside emotional understanding.

How much experience does she have?

Nicola has five years of experience working in counselling and psychotherapy settings. That experience includes supporting people through trauma, loss and neurodivergent needs.

What credentials and region are listed?

She is listed with the NCPS and is based in the United Kingdom.

Which languages are sessions offered in?

Sessions are offered in English and international clients are not currently accepted.

What session formats are available?

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

How does payment and cost work?

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

How do I begin working with Nicola?

Use the Start Therapy button, complete the short matching questionnaire, and then schedule according to the therapist's availability.

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