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About Sarah
Sarah Lacey works with stress, anxiety, low mood, grief, relationship strain and self-esteem. She uses Acceptance and Commitment Therapy, Client-Centred work and Cognitive Behavioural Therapy to help people identify practical steps and notice what matters most to them. She is registered with the British Association for Counselling and Psychotherapy (BACP) and has 22 years' experience in the UK.
Sarah offers short-term focused work and coaching-style conversations aimed at clear goals. Sessions include practical strategies such as thought records or values-based actions, and time to reflect on what is getting in the way of day-to-day coping. She explains techniques in simple terms and sets homework when that will help progress.
Her approach treats the person, not a label. She helps people spot patterns in thinking and behaviour and then try different ways of responding. When grief or compassion fatigue are present, she allows space to name losses and to make plans for manageable steps forward.
Sarah works weekdays and provides sessions on specific days, so she discusses scheduling during the initial contact. If someone arrives late to a session she will wait up to ten minutes before suggesting a rearrangement to ensure there is enough time for useful work.
To begin, people are invited to use the site matching process and book a first session. She does not take international clients and practices within the United Kingdom.
How her approaches translate to online sessions
Acceptance and Commitment Therapy (ACT) focuses on helping people notice what matters to them and take small actions in line with those values; it can help with anxiety and low mood by shifting attention from unhelpful thoughts to chosen behaviours. Cognitive Behavioural Therapy (CBT) involves identifying patterns of thinking and behaviour, trying new strategies and using practical exercises such as thought records and behavioural experiments to test changes. Client-Centred work emphasises listening and reflecting back what matters to the person, creating time to make sense of feelings and choices.
Finding the right approach is part of the work. The counsellor will discuss goals and preferences and will agree with the client which methods to try first. This is a collaborative process and may change as progress is made.
The biography does not list specific session formats, so confirm current options before booking. Online work can make it easier to fit counselling around daily commitments, shorten travel time and allow brief check-ins when a full in-person session is harder to arrange. It also lets people use quieter surroundings or avoid being on camera if that helps them engage. Registered or accredited professionals can offer a range of session lengths and rhythms; Sarah will discuss what suits practical routines and therapeutic goals during the first contact.
Sessions take place through BetterHelp by video, phone or messaging. We will earn a commission if you sign up.
Topics Sarah lists
Ways of working
Questions about Sarah
- Does she work with anxiety?
- Yes. Anxiety and generalised anxiety are listed areas she helps people with.
- What kind of counselling does she offer?
- She uses Acceptance and Commitment Therapy, Client-Centred work and Cognitive Behavioural Therapy in her practice.
- How long has she been practising?
- She has 22 years of professional experience in the United Kingdom.
- Is she a member of a professional body in the UK?
- She is registered with the British Association for Counselling and Psychotherapy (BACP).
- Can I see her if I live outside the UK?
- She does not accept international clients and works within the United Kingdom.
- What formats are available for sessions?
- The original biography does not specify session formats; confirm current options before booking.
- How much do sessions cost?
- Cost varies with location and sessions use a subscription that can be cancelled at any time.
- How do I get started?
- Use the Talk to a counsellor online button, complete the short matching questionnaire, and schedule a first session.
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Jade Cammarata
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Sarah Cattermole
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Joe Sibley
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Corinna Andrews
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Elizabeth Grint
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This page is based on Sarah's public BetterHelp listing and is not written by Sarah. It is not a recommendation. If anything here is wrong, tell us and we will correct it.