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About Tamsyn
Tamsyn Spear helps people work through stress, anxiety, relationship and family difficulties using an integrative counselling approach. She describes her way of working as collaborative, drawing on Person-Centred principles, Transactional Analysis and Gestalt, with additional ideas from mindfulness, systemic family practice, attachment theory and brief Cognitive Behavioural Therapy. She is a member of the British Association for Counselling and Psychotherapy (BACP) and has 11 years' experience working in the UK.
Her background includes roles as a counsellor, a therapy supervisor and a child and adolescent mental health worker in both voluntary services and the NHS. Before that she spent seven years offering therapeutic support through local council services. That range of settings has given her regular contact with adults, young people, children and carers facing varied challenges.
In sessions she aims to work alongside people to identify practical changes they want to make. She supports people to talk through stress, low mood, anxiety, grief and loss, and difficulties with motivation and self‑esteem. She also helps with parenting strains, family conflict, and separation issues by focusing on clear steps and coping strategies.
Tamsyn offers support for people dealing with trauma, addiction, anger and compassion fatigue, and for those wrestling with feelings such as guilt, shame, emptiness or isolation. She can work with attachment or blended family issues, codependency, control problems and communication difficulties.
Her practice combines conversational work with brief cognitive and mindfulness‑based techniques when these suit the person. She discusses goals and next steps with clients so that the plan of work fits their priorities and everyday life.
Approaches used in online sessions and how they help
She works integratively, often using Person‑Centred methods which focus on a respectful, non‑judgemental relationship and listening so people can talk through what matters to them; this can help with low mood, self‑esteem and making decisions.
She also draws on brief Cognitive Behavioural Therapy techniques to identify unhelpful thinking and try practical changes, useful for stress, anxiety and coping with life changes. Transactional Analysis and Gestalt approaches are used to look at communication patterns and present‑moment experience, which can help with relationship and family issues.
Deciding which approaches to use is a collaborative process. The counsellor discusses goals, preferences and what has worked for the person before agreeing a plan. That means the work can shift over time as needs change and progress is reviewed together.
The practical benefits of online work include fitting sessions into a busy week and reducing travel time so it is easier to attend regular appointments. The biography does not state which session formats are offered, so please confirm current options before booking. Registered or accredited professionals and therapists often use online sessions to allow regular contact and to support continuity of care without requiring extra travel.
Sessions take place through BetterHelp by video, phone or messaging. We will earn a commission if you sign up.
Topics Tamsyn lists
Questions about Tamsyn
- Does she work with anxiety?
- Yes. She helps people manage anxiety through conversational work and brief cognitive techniques.
- What kind of counselling does she offer?
- She offers an integrative approach based on Person‑Centred counselling, Transactional Analysis and Gestalt, with mindfulness and brief CBT elements.
- How much experience does she have?
- She has 11 years' experience working in counselling roles across voluntary services and the NHS, plus earlier therapeutic work through local council services.
- Is she registered with a professional body?
- Yes. She is a member of the British Association for Counselling and Psychotherapy (BACP) and practises in the United Kingdom.
- Can I have sessions in other languages?
- Sessions are offered in English.
- What session formats does she use?
- The biography does not specify formats; 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 start working with her?
- 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 Tamsyn's public BetterHelp listing and is not written by Tamsyn. It is not a recommendation. If anything here is wrong, tell us and we will correct it.