Susan "Sue" Small, BACP

Susan "Sue" Small is a counsellor based in the United Kingdom with six years' experience. She supports people facing stress, anxiety, depression and the practical fallout of life changes. Sue also helps with grief and loss, motivation, self-esteem and confidence. She works in a neuro-affirming way and has experience with ADHD and autism.

Sue believes people know their own story and brings a collaborative attitude to sessions. She aims to create a calm space for talking through what feels hard right now. Her style is straightforward and warm, focusing on what can be tried next rather than only looking back.

In practice she uses client-centred methods to follow each person’s priorities. She also draws on solution-focused ideas to identify small, achievable steps. For people affected by traumatic events, she incorporates trauma-focused approaches to help manage distressing memories and reactions.

Sue often helps people sort out relationship and communication problems, caregiver stress, body image and eating concerns, and work-related issues such as career pressure. She also supports people dealing with abandonment, attachment difficulties and blended family challenges.

Sessions aim to be practical and paced to the individual's needs. Sue offers a steady presence while people test new ways of coping and make changes that suit their lives. She encourages small steps and clear goals, and works alongside each person as they try things out.

How these approaches translate to online support

Sue uses client-centred work, which means sessions focus on what matters most to the person and move at their pace. This approach helps with stress, low mood and confidence by following the client’s priorities and building on their strengths.

She also draws on solution-focused therapy to identify clear, short-term goals and small steps forward. That method suits people who want practical changes and straightforward ways to measure progress.

Finding the best approach is a collaborative process. Sue will work with each person to agree what feels right, and adapt techniques as needs and goals change. The aim is to try methods that fit the person rather than applying a fixed plan.

Confirm the current session options before booking, as formats are not specified here. Online work can make it easier to fit counselling around daily life, for example by removing travel time or allowing sessions during a lunch break. It can also allow quieter check-ins that need less time and can be simpler to schedule. Registered or accredited professionals and therapists often find online work helps people stay consistent with appointments and keep momentum between sessions.