Hello, I’m Nicola, a therapist based in the United Kingdom. I have over five years’ experience supporting people through grief and loss, trauma and abuse, life changes, stress, anxiety, mood difficulties and relationship challenges.
I work integratively, which means I draw on a range of therapeutic approaches to ensure our work is tailored to you and your individual needs. This includes person-centred therapy; providing a compassionate and non-judgemental space to explore your feelings, psychodynamic approaches; helping you understand patterns and experiences that may have developed over time, and CBT; supporting you to explore the relationship between your thoughts, feelings and behaviours. Our work together will always be collaborative, with you at the centre of the process.
ADHD and neurodiversity are particular areas of interest within my practice. ADHD can affect much more than attention and organisation, and may influence emotional regulation, motivation, executive functioning, relationships, self-esteem and the ability to manage everyday demands. I support clients to develop a greater understanding of how their neurodivergence affects them, while exploring practical ways to navigate challenges, build on their strengths and develop greater self-acceptance.
I offer support for a wide range of emotional and psychological difficulties, including anxiety, depression and low mood, mood disorders such as Borderline Personality Disorder (BPD), emotional dysregulation, relationship difficulties, grief and loss, trauma, stress, overwhelm and difficulties arising from significant life changes. I can also support you to explore how past experiences, relationships and patterns of behaviour may be influencing how you feel and respond in the present.
My approach is trauma-informed and grounded in compassion, safety, autonomy and respect. I understand that healing is not linear and that there is no single way to process difficult experiences. Therapy can involve making sense of the past, understanding what is happening for you now, or finding ways to feel more grounded and able to move forward.
At the heart of my work is the belief that being genuinely heard with empathy, warmth and without judgement can be a powerful catalyst for healing and self-understanding. I believe you are the expert in your own story and that, even when things feel overwhelming, you already hold strengths and resources that we can work together to uncover and build upon.
Taking the first step towards therapy can take courage. Whatever has brought you here, I offer a calm and supportive space where you can be yourself, explore what you are experiencing and work at a pace that feels safe and manageable for you. I would be honoured to walk alongside you through that process of reflection, growth and change.
Additional areas of focus: Coping with addictions, LGBTQ+ related issues, Relationship issues, Family conflicts, Intimacy related issues, Eating disorders, Sleeping disorders, Parenting issues, Anger management, Motivation, self esteem, and confidence, Career difficulties, Bipolar disorder, Depression, Executive and professional 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 / AIDS, Hoarding, Hospice and end-of-life counseling, Immigration issues, Impulsivity, Infidelity, Intellectual disability, Isolation / loneliness, Jealousy, Life purpose, Men's issues, 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 / 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, Sexuality, Smoking / vaping cessation, Social anxiety and phobia, Somatization, Traumatic brain injury, Trichotillomania, Visually impaired, Women's issues, Workplace issues, Young adult issues
Clinical 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
NCPS Therapist - Accredited Member (MNCPS Accred) #NCS23-00569
These quotes represent just a few of the many positive reviews that we have received for Nicola Fiveash. We don't pay anyone to provide their review and they are all made voluntarily. Some people's experience receiving therapy with BetterHelp might be different.
Excellent.
Written on Jun 03, 2026 after therapy with Nicola for 2 weeks on issues concerning relationship issues
Thank you for listening and supporting me so far on my therapy journey .
Written on Apr 28, 2026 after therapy with Nicola for 2 weeks on issues concerning depression, stress, anxiety, self esteem, career difficulties, coping with life changes, coaching, and adhd
I enjoyed several sessions with Nicola and each time I was met with compassion, kindness, patience and respect. I never felt pushed into talking about anything I wasn't ready to talk about, whilst simultaneously feeling encouraged to explore topics that were perhaps a little tricky to navigate yet done with grace and empathy. Would highly recommend Nicola x
Written on Mar 04, 2026 after therapy with Nicola for 3 months on issues concerning depression, relationship issues, trauma and abuse, intimacy-related issues, and adhd
A great therapist who really takes the time to deliver considerate, thoughtful and insightful therapy.
Thank you.
Written on Feb 07, 2026 after therapy with Nicola for 3 months on issues concerning stress, anxiety, and adhd
Nicola has been a great support in my short time with BetterHelp
Written on Feb 04, 2026 after therapy with Nicola for 2 weeks on issues concerning stress, anxiety, addictions, relationship issues, trauma and abuse, self esteem, and adhd
Nicola has been the first person that I feel has really listened to me and understood, I’m trying to understand everything better myself and think I’m getting to know myself better. She is patient and allows a safe space for me.
Written on Jan 24, 2026 after therapy with Nicola for 2 weeks on issues concerning stress, anxiety, relationship issues, family conflicts, parenting issues, and adhd