My Approach

Academic studies show that it is the therapeutic relationship itself, rather than any specific modality that determines an effective outcome for you, the client. I place our therapeutic relationship at the centre of my practice.

As an Integrative Counsellor I believe that there is no single therapeutic model that is effective for the range and complexity of experiences that people bring to counselling .The way I work draws on my masters level training in a range of therapeutic approaches, which informs my thinking, allowing me to work in a way that is most appropriate and beneficial to my clients' needs. I believe therapy has to be an equal mixture of getting to know you, the root of your problems and who you are, and providing you with techniques to help you outside of the counselling room. My core philosophy is humanistic but I mix this with Dialectical Behaviour Therapy and Mindfulness Based Stress Reduction techniques to provide an overall system that is effective and lasting.

How I Can Help


Dealing with others, whether it is your partner, your children, parents, colleagues or friends, can be a source of confusion and despair. We can find ourselves seemingly in the same relationship with similar partners repeatedly wondering why we have the same difficulties. We can not understand why we have never felt loved as much as our siblings. We can wonder why we never trust our partners in the company of others or why our boss constantly overlooks our opinions. 

Counselling offers a non judgemental, accepting space where these issues can be laid out, and examined safely. It gives you the opportunity to understand, pick apart and re-frame these experience while being fully supported by a professional trained to guide you in your exploration.


All human being and animals have some anxiety. Biologically it serves an important purpose in alerting us to danger and motivating us to be prepared for new events. However in some people the natural anxiety thermostat is turned up to maximum use and this is when it can cause problems and stop us from functioning effectively.
Anxiety comes in may different guises and cause innumerable symptoms, some of which are extremely physical. Anxiety can also be a byproduct of other things like depression, trauma and autism. 
I believe the way to approach anxiety is a mixture of getting to the underlying cause by exploring this with humanistic talk and creative therapies. Then, offering appropriately matched skills from the behaviour therapies which allow for better day to day functioning outside of the therapy room.


There are many types of loss, such as bereavement, the end of a relationship, the diagnois of a child with a disability. All loss inevitably leads to grief which can become complicated and give rise to a number of difficult emotions. People often have an empathy limitation on loss of any kind. They will seem to set a target date by which time they have established that you should have "got over" your loss. Some people of course are able to carry on given a period of adjustment after a loss, but many of us are not.
Counselling does not set a time limit on your loss. It allows you to explore your feelings safely from a place of acceptance and warmth, and helps you to process and adjust to your loss in your own time and space. Complicated loss can take many years to accept.

Sometimes extreme events can happen in our lives and our minds can struggle to deal with this and put in place necessary defensive systems to protect us. These events are often catastrophic, events such a war, car accidents or sexual abuse. They can also be surprisingly every day events brought on by cumulative stress leaving the person unable to deal with the smallest setback. Trauma affects how we respond to life. It can change our personalities and experience of life enormously.  You may be suffering from trauma if you experience flashbacks, insomnia, anger or feelings of apathy and detachment.
Counselling can help you process the trauma, bring it to the front of your mind to work through in a safe space with a trained professional. It can help to have trauma simply witnessed and acknowledged so you may begin to heal whilst also being offered self soothing techniques to get you through. 
Systems such as the REWIND have been shown to help with PTSD and as a trained rewind practitioner I am able to help with this. Please note the REWIND technique is offered free to veterans experiencing PTSD.    

Sarah Leach MBACP. Proudly created with