MidlifeTherapists.com

Therapist listings are provided by BetterHelp. We will earn a commission at no additional cost to you if you use our links to purchase.

Nicola Fiveash

Nicola Fiveash, NCPS

Therapist · United Kingdom · 5+ years of experience

Experienced integrative counsellor for midlife change

Continue with Nicola

Opens BetterHelp in a new tab, where you can review online therapy options.

  • Trauma informed
  • Neurodiversity affirming
  • Collaborative approach

About Nicola

Nicola Fiveash is a counsellor working in the United Kingdom with five years of practice. She offers a calm, compassionate presence for people facing grief, loss, trauma, anxiety and major life changes. Nicola also supports people who identify as neurodivergent and those coping with stress, low mood or a sense of being overwhelmed.

Nicola draws from a mix of approaches to match what each person needs. She uses client-centred work to give space for thoughts and feelings without judgement, and cognitive behavioural techniques to help notice links between thoughts and actions. She also blends attachment-informed ideas to look at patterns rooted in early relationships.

Sessions are collaborative and paced to the individual. Nicola emphasises safety, autonomy and respect for how different people experience the world. Her practice is trauma-informed and neurodiversity-affirming, so she pays attention to practical needs as well as emotional ones.

In sessions she listens with warmth and curiosity, helping people name what matters and try small, manageable steps forward. Conversations may include exploring past patterns, developing coping strategies, or practising ways to change unhelpful routines.

Nichola encourages people to recognise their own strengths and to take care of practical concerns alongside emotional work. She asks questions, reflects back what she hears, and helps set clear, achievable goals. For those navigating midlife changes, Nicola offers a steady space to rethink priorities and adjust to new phases of life.

Areas of expertise

Primary focus

Also works with

AddictionsRelationship issuesFamily conflictsEating disordersSleeping disordersParenting issuesSelf esteemCareer difficultiesDepressionCoachingCompassion fatigue

Additional focus areas

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

Therapeutic approaches

Acceptance and Commitment Therapy (ACT)Attachment-Based TherapyClient-Centered TherapyCognitive Behavioral Therapy (CBT)Dialectical Behavior Therapy (DBT)Emotionally-Focused Therapy (EFT)Existential TherapyHypnotherapyJungian TherapyMindfulness TherapyMotivational InterviewingNarrative TherapyPsychodynamic TherapySolution-Focused TherapySomatic TherapyTrauma-Focused TherapyInternal Family SystemsSystemic Therapy

Experience

5+ years

Credentials

United Kingdom

Languages

English

How Nicola’s Approaches Translate to Online Care

Acceptance and Commitment Therapy (ACT) focuses on values and small, practical steps. It helps people clarify what matters and build actions that match those values when life feels uncertain. Cognitive Behavioural Therapy (CBT) looks at patterns of thinking and behaviour and offers tools to change day-to-day routines that maintain distress. Attachment-Based Therapy considers how early relationship patterns affect present relationships and emotional responses, useful when repeating the same difficulties in close connections.

Finding the right approach is part of the work. Nicola will discuss options and tailor the mix of methods to a person’s goals and preferences. This is collaborative, with regular check-ins to see what helps and what needs adjusting.

Session formats are not specified in the biography, so confirm current options before booking. Online working can make it easier to fit therapy into a busy life, for example by removing travel and allowing sessions at a time that suits work or family routines. It also means simpler check-ins when energy is low, and the chance to try techniques in the environment where problems occur. Registered or accredited professionals, including therapists, use online work to maintain continuity of care and to offer flexible scheduling that fits everyday life.

Frequently asked questions

What concerns does Nicola commonly help with?

She supports people with stress, anxiety, grief, trauma and coping with life changes. Other areas include ADHD, addictions, low self-esteem, career and parenting concerns.

What is her therapeutic style like?

Her style is collaborative and calm, offering a non-judgemental space. She blends person-centred listening with practical techniques to address thoughts and behaviours.

How much clinical experience does she have?

She has five years of experience working with people on grief, trauma, anxiety and related issues.

What credentials and region are listed for Nicola?

Nicola holds NCPS as a credential and is based in the United Kingdom.

Which languages are sessions offered in?

Sessions are offered in English.

Can clients from other countries work with her?

She is not currently accepting international clients.

How are fees and payments handled?

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

How do I begin a course of therapy?

Click the Start Therapy button, complete a short matching questionnaire, and schedule according to therapist availability.

Nicola Fiveash Online therapy options on BetterHelp

Continue with Nicola