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Sarah Tolley

Counsellor for anxiety, trauma and relationships

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  • Stress and anxiety
  • Trauma and EMDR
  • CBT and DBT methods

About Sarah

Sarah Tolley works with stress, anxiety, trauma and abuse, anger, self-esteem and depression using a mix of approaches that include attachment work, cognitive and behavioural methods, and EMDR. She is registered with NCPS and has ten years' experience in counselling.

Sarah has worked in private practice and in educational settings. She has supported pupils with low mood and suicidal feelings, and has offered one-to-one counselling to adults. Her caseload has included people from a wide range of socioeconomic, ethnic and religious backgrounds, and many people from LGBTQ+ communities.

Her work includes supporting people affected by adoption and foster care, attachment difficulties, and relationship problems such as commitment issues and control issues. She has also worked with concerns around substance misuse, domestic violence, and complex sexual cultures including BDSM and kink.

In sessions she uses client-centred conversations alongside structured techniques from cognitive behavioural therapy and dialectical behaviour therapy. She also offers approaches that focus on attachment and on processing traumatic memories with EMDR when appropriate. This means practical skills work alongside reflection on past relationships and patterns.

Sarah reports experience working with couples and adolescents as well as adults, and she aims to be professional and approachable in sessions. She uses a solution-focused outlook when appropriate and supports people to build clearer steps for change.

Her practice is based in the United Kingdom and she works in English. International clients may be accepted; confirm current arrangements and session options before booking.

How therapeutic approaches work in online sessions

Attachment-based work looks at the way early relationships influence current patterns. In online sessions this approach focuses on talking about relationship history and noticing how those patterns show up now, which can help with trust and connection issues.

Client-centred counselling means sessions are guided by what the person brings and by the therapist's attentive listening. It suits people who want a reflective space to talk through thoughts and feelings and to make their own choices about change.

Cognitive Behavioural Therapy, or CBT, focuses on identifying unhelpful thinking and practical strategies to change behaviour. It often involves agreed tasks between sessions and can help with anxiety and low mood.

Finding the right approach is part of the work. The counsellor will talk with the client about goals, preferences and what feels most useful, and then agree a plan together. This collaboration helps adapt methods if priorities change.

Session formats are not listed in the biography, so confirm available options before you book. Online sessions can make it easier to fit counselling into a busy week, allow for shorter check-ins when needed, and reduce travel time. Registered or accredited professionals can deliver the approaches named here and will explain how sessions will run when you arrange a first appointment.

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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. She lists anxiety and stress as core areas of work and uses cognitive and behavioural methods to help manage symptoms.
What kind of counselling does she offer?
She uses a mix of client-centred counselling, attachment-based approaches, CBT, DBT and EMDR depending on the person's needs.
What experience does she have?
She has ten years' experience, including private practice and work in educational settings with pupils and adults.
What are her credentials and where is she based?
She is registered with NCPS and practices in the United Kingdom.
Can I see her if I live outside the UK?
International clients are accepted; check the service details and session options before booking.
Which session formats does she offer?
Session formats are not specified in the biography; please confirm current session 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?
Select the Talk to a counsellor online button, complete the short matching questionnaire, and schedule a first session.
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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.

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